OrganizationActive
Autumn Road Family Practice, P.A,
NPI 1629027818 · Clinic/Center · Little Rock, AR
Provider details
- NPI number
- 1629027818
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dawn Drennan, Administrator(501) 626-7515
- License
- MC0079 (AR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
904 Autumn Rd
Suite 200
Little Rock, AR 72211-3737
Phone: (501) 227-6363
Fax: (501) 227-8629
Approximate (ZIP-level) locationGet directions
Mailing address
904 Autumn Rd
Little Rock, AR 72211-3737
Registry dates
- Enumerated
- 2006-05-08
- Last updated
- 2022-05-31
- Certified
- 2022-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.