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Organization
CENTRAL CLINIC FOR WOMEN, P. A.
Active
Organization
CENTRAL CLINIC FOR WOMEN, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY C WIEDOWER-EBLE M.D. (VICE PRESIDENT)
(501) 227-5885
Entity
Organization
Contact information
Practice address
9601 BAPTIST HEALTH DR STE 500, LITTLE ROCK, AR 72205-6341
(501) 227-5885
(501) 227-5005
Mailing address
11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
(501) 812-7215
(501) 812-7207
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121648002
—
AR
Enumeration date
05/10/2006
Last updated
05/11/2023
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