| Doctor Name: | JOHNNY P ADKINS |
| NPI Number: | 1164472908 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | C5262 |
| Business Practice Address: | 3053 N College Avenue Fayetteville, AR - 72703 |
| Business Phone Number: | 4794632000 |
| Business Fax Number: | 4794424518 |
| Mailing Address: | Po Box 879, FAYETTEVILLE |
| State: | AR |
| Postal Code: | 727020879 |
| Phone Number: | 4797137115 |
| Fax Number: | 4797137186 |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 03/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | C5262 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |