Healthcare Provider Details

I. General information

NPI: 1447220264
Provider Name (Legal Business Name): ERIC D AKIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S CHURCH ST STE 201
JONESBORO AR
72401-4106
US

IV. Provider business mailing address

800 S CHURCH ST STE 201
JONESBORO AR
72401-4106
US

V. Phone/Fax

Practice location:
  • Phone: 870-934-1462
  • Fax: 870-934-1456
Mailing address:
  • Phone: 870-934-1462
  • Fax: 870-934-1456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number43178
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberE-3685
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number16372
License Number StateMS
# 4
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number16372
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: