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NPI Code Detail

MEDICARE: DR. BRANDI ALLISON HANKINS MD

MEDICARE: DR. BRANDI ALLISON HANKINS 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
12084P0800XPsychiatry PhysicianE5386AR

General Provider Information

NPI Number : 1922129998
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRANDI ALLISON HANKINS MD
Provider Business Mailing Address
First Line : 1815 PLEASANT GROVE RD
Second Line :
City : JONESBORO
State : AR
Zip : 72401-7870
Country : US
Telephone Number : 870-933-6886
Fax Number :
Provider Business Practice Location Address
First Line : 1815 PLEASANT GROVE RD
Second Line :
City : JONESBORO
State : AR
Zip : 72401-5321
Country : US
Telephone Number : 870-933-6886
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 10/14/2016

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