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NPI Code Detail

MEDICARE: DR. HARVIE M ATTWOOD MD

MEDICARE: DR. HARVIE M ATTWOOD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianC5945AR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568407088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HARVIE M ATTWOOD MD
Provider Business Mailing Address
First Line : PO BOX 251420
Second Line :
City : LITTLE ROCK
State : AR
Zip : 72225-1420
Country : US
Telephone Number : 501-686-8000
Fax Number : 501-526-5148
Provider Business Practice Location Address
First Line : 1617 N WASHINGTON
Second Line :
City : MAGNOLIA
State : AR
Zip : 71753-2046
Country : US
Telephone Number : 870-234-7676
Fax Number : 870-562-2559
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2006
Last Update Date : 03/18/2022

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Directions to “ DR. HARVIE M ATTWOOD MD” Practice Location

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