Healthcare Provider Details

I. General information

NPI: 1205461944
Provider Name (Legal Business Name): SERRHEL ADAMS JR MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2020
Last Update Date: 09/17/2021
Certification Date: 09/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 W MAPLE AVE STE 205A
SPRINGDALE AR
72764-5336
US

IV. Provider business mailing address

601 W MAPLE AVE STE 205A
SPRINGDALE AR
72764-5336
US

V. Phone/Fax

Practice location:
  • Phone: 479-326-9400
  • Fax:
Mailing address:
  • Phone: 479-326-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SERRHEL G ADAMS JR.
Title or Position: MANAGER
Credential: MD
Phone: 479-200-6886