Healthcare Provider Details

I. General information

NPI: 1154546166
Provider Name (Legal Business Name): ANTHONY C DAVIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2007
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 SPRINGHILL DR STE 490A
NORTH LITTLE ROCK AR
72117-2924
US

IV. Provider business mailing address

11001 EXECUTIVE CENTER DR STE 200
LITTLE ROCK AR
72211-4393
US

V. Phone/Fax

Practice location:
  • Phone: 501-202-3815
  • Fax: 501-202-3835
Mailing address:
  • Phone: 501-202-3815
  • Fax: 501-202-3835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberE-5989
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: