# PRESTIGE CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346032208
- **Authorized official:** BENJAMIN WAGNER CARLYLE (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (479) 498-6700

## Contact information

- **Practice address:** 411 W WASHINGTON AVE STE B, JONESBORO, AR 72401-2781
- **Practice address phone:** (870) 275-4272
- **Practice address fax:** (870) 275-4277
- **Mailing address:** PO BOX 9178, RUSSELLVILLE, AR 72811-9178
- **Mailing address phone:** (800) 824-4094
- **Mailing address fax:** (479) 968-1673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/19/2025
- **Last updated:** 08/01/2025