Organization
ARKANSAS CHILDREN'S MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT S WILLIAMS MD (PRESIDENT)
(501) 364-2090
Entity
Organization
Contact information
Practice address
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Mailing address
1 CHILDRENS WAY # 844, LITTLE ROCK, AR 72202-3500
(501) 364-2090
(501) 364-3929
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0207X
Pediatric Hematology & Oncology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222588002
—
AR
01
—
5E311
BLUE CROSS AND BLUE SHIELD
AR
Enumeration date
06/08/2017
Last updated
07/07/2022
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