=====================================================
General NPI Number Information
=====================================================
NPI Number | 1417586819
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ZOE WEEKS MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2020
-----------------------------------------------------
Last Update Date | 11/05/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 227 PINE BLUFF HWY # 2
-----------------------------------------------------
City | ENGLAND
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72046-2234
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 501-842-3131
-----------------------------------------------------
Fax | 501-842-3137
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 497
-----------------------------------------------------
City | AUGUSTA
-----------------------------------------------------
State | AR
-----------------------------------------------------
Zip | 72006-0497
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 870-347-2534
-----------------------------------------------------
Fax | 870-301-2092
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number | E-18666
-----------------------------------------------------
License Number State | AR
-----------------------------------------------------