Individual provider · NPI-1

Bryan E Abernathy, M.D

Family Medicine · Fayetteville, AR

NPI number1649218892
StatusActive
Last updated in NPPESJul 4, 2023

Details

NPI
1649218892
Entity type
Individual (NPI-1)
Name
Bryan E Abernathy
Credential
M.D
Sex
Male
Sole proprietor
No
Enumeration date
Jun 2, 2006
Certification date
Jul 4, 2023
Last updated
Jul 4, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineR3155ARYes

Practice location

1806 N Crossover Rd
Suite 4
Fayetteville, AR 72701-2725

Phone 479-521-5603 · Fax 479-521-5773

Mailing address

1806 N Crossover Rd
Suite 4
Fayetteville, AR 72701-2725

Phone 479-521-5603 · Fax 479-521-5773

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