NPI Code Details Logo

NPI 1598394405

NPI 1598394405 : ABIGAIL LEIGH DELOACH MD : NORTH LITTLE ROCK, AR

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1598394405
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    ABIGAIL LEIGH DELOACH MD
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/02/2020
-----------------------------------------------------
    Last Update Date     |    12/02/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3401 SPRINGHILL DR STE 245 
-----------------------------------------------------
    City                 |    NORTH LITTLE ROCK
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72117-2926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    501-945-4422
-----------------------------------------------------
    Fax                  |    501-955-6052
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3401 SPRINGHILL DR STE 245 
-----------------------------------------------------
    City                 |    NORTH LITTLE ROCK
-----------------------------------------------------
    State                |    AR
-----------------------------------------------------
    Zip                  |    72117-2926
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    501-945-4422
-----------------------------------------------------
    Fax                  |    501-955-6052
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    208600000X
-----------------------------------------------------
    Taxonomy Name        |    Surgery Physician
-----------------------------------------------------
    License Number       |    E19595
-----------------------------------------------------
    License Number State |    AR
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.