Healthcare Provider Details

I. General information

NPI: 1992947204
Provider Name (Legal Business Name): CHARLES DREW SESSIONS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 05/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 LORNA DR
LITTLE ROCK AR
72205-2533
US

IV. Provider business mailing address

14 LORNA DR
LITTLE ROCK AR
72205-2533
US

V. Phone/Fax

Practice location:
  • Phone: 501-442-7610
  • Fax:
Mailing address:
  • Phone: 501-442-7610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberE-6731
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: