Alicia Ann Womack is a Pediatrics in Perry, Arkansas. Alicia Ann Womack practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Alicia Ann Womack is 1376645812. The last update date is 2007-07-09.
Alicia Ann Womack's current location address is 1373 Highway 10 W, Perry, Arkansas. You can contact this provider via phone number 5016624145. The mailing address for Alicia Ann Womack is 1373 Highway 10 W, Perry, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alicia Ann Womack |
|---|---|
| Address | 1373 Highway 10 W, Perry, Arkansas |
| Phone Number | 5016624145 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR L |
NPI Number Detail
| NPI Number | 1376645812 |
|---|---|
| Provider Enumeration Date | 2006-09-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1373 Highway 10 W |
|---|---|
| City | Perry |
| State | Arkansas (AR) |
| Post Code | 721258005 |
| Phone Number | 5016624145 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | OTR1148 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5T631 | AR | BLUE CROSS BLUE SHEILD # |
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What is the Alicia Ann Womack's unique identification number?
The Alicia Ann Womack has been assigned the NPI (National Provider Identifier) Number 1376645812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Alicia Ann Womack located?
The Alicia Ann Womack is located at 1373 Highway 10 W, Perry, AR 721258005.
What is the Alicia Ann Womack's area of specialization and corresponding taxonomy classification?
The Alicia Ann Womack's specialty field is Pediatrics, and it falls under the taxonomy code 225Xp0200X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376645812 to Alicia Ann Womack?
The Centers for Medicare & Medicaid Services originally issued the 1376645812 to Alicia Ann Womack on 2006-09-04.
When was the information regarding Alicia Ann Womack most recently updated?
The details pertaining to the Alicia Ann Womack, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.