Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | E-13129 | AR |
N | 111NI0900X | Internist | E-13129 | AR |
N | 208000000X | Pediatrician | E13129 | AR |
Y | 2080P0216X | Pediatric Rheumatologist | E-13129 | AR |
NPI | 1275996944 |
---|---|
Provider Name | Franklin Welborn III |
First Address | Little Rock, AR 72205-7101 |
Second Address | Little Rock, AR 72205-6321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2016 |
Last Update Date | 18/03/2021 |