Healthcare Provider Details

I. General information

NPI: 1386022283
Provider Name (Legal Business Name): TRUE DERMATOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2015
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1651 E STEARNS ST STE 110
FAYETTEVILLE AR
72703-6196
US

IV. Provider business mailing address

1651 E STEARNS ST STE 110
FAYETTEVILLE AR
72703-6196
US

V. Phone/Fax

Practice location:
  • Phone: 479-876-8550
  • Fax: 479-208-4266
Mailing address:
  • Phone: 479-876-8550
  • Fax: 479-208-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. CARLA MILLS
Title or Position: BILLING MANAGER
Credential:
Phone: 479-876-8520