# PRESTIGE CARE, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prestige Care - Paragould
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922899368
- **Authorized official:** BENJAMIN WAGNER CARLYLE MD (OWNER)
- **Authorized official phone:** (479) 498-6700

## Contact information

- **Practice address:** 160 GREENE 721 RD APT D, PARAGOULD, AR 72450-8933
- **Practice address phone:** (870) 472-8403
- **Practice address fax:** (870) 472-8422
- **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:** 05/15/2025
- **Last updated:** 08/01/2025