Individual
DR. ADAM ASHLEY SILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 WINDOVER RD, JONESBORO, AR 72401-6007
(870) 336-1600
(870) 336-0585
Mailing address
PO BOX 16788, JONESBORO, AR 72403-6712
(870) 336-1600
(870) 336-0585
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
E-4809
AR
207P00000X
Emergency Medicine Physician
E-4809
AR
207Q00000X
Family Medicine Physician
E-4809
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162625001
—
AR
01
—
5-N562
BLUE CROSS & BLUE SHIELD
AR
Enumeration date
07/12/2006
Last updated
03/15/2017
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