Individual
HAILEY C FARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 N 3RD ST, DARDANELLE, AR 72834-3802
(479) 229-6191
(479) 229-6194
Mailing address
200 N 3RD ST, DARDANELLE, AR 72834-3802
(479) 229-6191
(479) 229-6194
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E9214
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209831001
—
AR
Enumeration date
06/26/2012
Last updated
01/23/2022
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