Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | E-7982 | AR |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | E-7982 | AR |
NPI | 1205032281 |
---|---|
Provider Name | Dr. Sallie Sherrod Oliphant |
First Address | Little Rock, AR 72205-5417 |
Second Address | Little Rock, AR 72205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 03/08/2018 |