Provider Demographics
NPI:1144230798
Name:WILLIAMS, RODNEY (DC)
Entity type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8703 KANIS RD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72204-2323
Mailing Address - Country:US
Mailing Address - Phone:501-227-9766
Mailing Address - Fax:501-227-7290
Practice Address - Street 1:1200 JOHN BARROW RD
Practice Address - Street 2:STE. 112
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6500
Practice Address - Country:US
Practice Address - Phone:501-227-9766
Practice Address - Fax:501-227-7290
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1568111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5W488OtherBLUE CROSS BLUE SHIELD
AR7825248OtherAETNA
AR146751718Medicaid
AR5W488Medicare ID - Type Unspecified