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Individual

MARK D ADKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
909 ENTERPRISE DR, JONESBORO, AR 72401-9201
(870) 336-1100
Mailing address
39 COUNTY ROAD 967, BROOKLAND, AR 72417-8799
(870) 972-9594

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
C01477
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5X685
BCBS
AR
Enumeration date
08/15/2006
Last updated
07/08/2007
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