Organization
ARKANSAS NEUROLOGY & EPILEPSY CENTER PA
Active
Organization
ARKANSAS NEUROLOGY & EPILEPSY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIS COURTNEY JR. M.D. (OWNER)
(501) 663-2200
Entity
Organization
Contact information
Practice address
5100 W 12TH ST, LITTLE ROCK, AR 72204-1855
(501) 663-2200
(501) 954-7624
Mailing address
PO BOX 56170, LITTLE ROCK, AR 72215-6170
(501) 663-2200
(501) 954-7624
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
C7679
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467418228
—
AR
Enumeration date
03/23/2007
Last updated
08/22/2020
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