Organization
CAVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERENCE BENJAMIN WILSON MD (STAFF PHYSICIAN)
(501) 257-2627
Entity
Organization
Contact information
Practice address
11C/NLR TOWBIN HEALTH CARE 2200 FORT ROOTS DRIVE, NORTH LITTLE ROCK, AR 72114
(501) 257-2627
Mailing address
11C/NLR TOWBIN HEALTH CARE 2200 FORT ROOTS DRIVE, NORTH LITTLE ROCK, AR 72114
(501) 257-2627
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C4907
AR
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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