Provider Demographics
NPI:1215826565
Name:ATWOOD PLASTIC SURGERY AND AESTHETICS
Entity type:Organization
Organization Name:ATWOOD PLASTIC SURGERY AND AESTHETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:ATWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:844-639-9689
Mailing Address - Street 1:PO BOX 463
Mailing Address - Street 2:
Mailing Address - City:BENTON
Mailing Address - State:AR
Mailing Address - Zip Code:72018-0463
Mailing Address - Country:US
Mailing Address - Phone:844-639-9689
Mailing Address - Fax:501-200-9528
Practice Address - Street 1:9500 BAPTIST HEALTH DR STE 200
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-6343
Practice Address - Country:US
Practice Address - Phone:844-639-9689
Practice Address - Fax:501-200-9528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty