Individual
ABIGAIL WASHISPACK SOUTHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4300 W 7TH ST UNIT 6E, LITTLE ROCK, AR 72205-5446
(501) 257-5888
Mailing address
4300 W 7TH ST UNIT 6E, LITTLE ROCK, AR 72205-5446
(501) 257-5888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
E-16653
AR
390200000X
Student in an Organized Health Care Education/Training Program
LL82399
SC
Other
Enumeration date
05/31/2019
Last updated
07/01/2023
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