| Little Rock Endocrinology Services | |
|
1 Saint Vincent Cir Ste 410 Little Rock AR 72205-5409 | |
| (501) 762-8056 | |
| (501) 781-2490 |
| Full Name | Little Rock Endocrinology Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Saint Vincent Cir Ste 410, Little Rock, Arkansas |
| Authorized Official Name and Position | Teresa A Nimmo (PRESIDENT) |
| Authorized Official Contact | 5017628056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Rock Endocrinology Services 1 Saint Vincent Cir Ste 410 Little Rock AR 72205-5409 Ph: (501) 762-8056 | Little Rock Endocrinology Services 1 Saint Vincent Cir Ste 410 Little Rock AR 72205-5409 Ph: (501) 762-8056 |
| NPI Number | 1679843445 |
|---|---|
| Provider Enumeration Date | 01/10/2012 |
| Last Update Date | 02/09/2022 |
| Medicare PECOS PAC ID | 3870760259 |
|---|---|
| Medicare Enrollment ID | O20120126000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679843445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Teresa A Nimmo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1225253248 PECOS PAC ID: 7416023213 Enrollment ID: I20080902000298 |
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