Organization
SERENITY HEALTH CENTER FOR WOMEN, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTAL WALLER RN (OFFICE ADMINISTRATOR)
(501) 603-9600
Entity
Organization
Contact information
Practice address
500 S UNIVERSITY AVE, SUITE 316, LITTLE ROCK, AR 72205-5302
(501) 603-9600
Mailing address
500 S UNIVERSITY AVE, SUITE 316, LITTLE ROCK, AR 72205-5302
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
E0253
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04828
HEALTHSOURCE
—
01
—
16047000000
QUALCHOICE
—
01
—
7420056
UNITED HEALTHCARE
—
Enumeration date
03/15/2007
Last updated
08/22/2020
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