# CENTRAL CLINIC FOR WOMEN, P. A.

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

## Provider details

- **NPI number:** 1922058213
- **Authorized official:** DR. AMY C WIEDOWER-EBLE M.D. (VICE PRESIDENT)
- **Authorized official phone:** (501) 227-5885

## Contact information

- **Practice address:** 9601 BAPTIST HEALTH DR STE 500, LITTLE ROCK, AR 72205-6341
- **Practice address phone:** (501) 227-5885
- **Practice address fax:** (501) 227-5005
- **Mailing address:** 11001 EXECUTIVE CENTER DR STE 200, LITTLE ROCK, AR 72211-4393
- **Mailing address phone:** (501) 812-7215
- **Mailing address fax:** (501) 812-7207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/10/2006
- **Last updated:** 05/11/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 121648002 | — | AR |