Organization
CONWAY MEDICAL AND WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARONTE LAMBERT FOWLER APRN (OWNER/APRN)
(501) 733-6124
Entity
Organization
Contact information
Practice address
805 MONROE ST STE 104, CONWAY, AR 72032-5642
(501) 932-6070
Mailing address
118 EAGLE RIDGE DR, MAUMELLE, AR 72113-7649
(501) 733-6124
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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