Provider Demographics
NPI:1891770012
Name:HANKINS, EDWIN III (MD)
Entity Type:Individual
Prefix:
First Name:EDWIN
Middle Name:
Last Name:HANKINS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9800 LILE DR
Mailing Address - Street 2:STE 400
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-6229
Mailing Address - Country:US
Mailing Address - Phone:501-224-5658
Mailing Address - Fax:501-224-8114
Practice Address - Street 1:4200 N RODNEY PARHAM RD
Practice Address - Street 2:STE 101
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-2461
Practice Address - Country:US
Practice Address - Phone:501-687-0800
Practice Address - Fax:501-687-0801
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2009-10-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ARC4383207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR104060001Medicaid
AR52118Medicare ID - Type Unspecified
AR104060001Medicaid