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Organization
CONWAY REGIONAL MEDICAL CENTER, INC
Active
Organization
CONWAY REGIONAL MEDICAL CENTER, INC
Active
Other names
Conway Regional Hendrix Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
1700 ALTUS ST STE 110, CONWAY, AR 72032-4299
(501) 852-1366
(501) 852-1367
Mailing address
1700 ALTUS ST STE 110, CONWAY, AR 72032-4299
(501) 852-1366
(501) 852-1367
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
11/09/2023
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