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Organization
PRESTIGE CARE, PLLC
Active
Organization
PRESTIGE CARE, PLLC
Active
Other names
Prestige Care - Blytheville
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WAGNER CARLYLE (OWNER)
(479) 498-6700
Entity
Organization
Contact information
Practice address
1100 MEDICAL DR STE C, BLYTHEVILLE, AR 72315-2437
(870) 472-8403
(870) 472-8370
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(800) 824-4094
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
06/26/2025
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