Organization
CENTRAL ARKANSAS WOMENS CLINIC P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCY L LUMPKINS CLINIC MANAGER (CLINIC MANAGER)
(501) 778-0427
Entity
Organization
Contact information
Practice address
910 NORTH EAST STREET, STE 206, BENTON, AR 72015
(501) 778-0427
(501) 778-5993
Mailing address
PO BOX 2577, BENTON, AR 72018
(501) 778-0427
(501) 778-5993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E2226
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150120002
—
AR
Enumeration date
09/15/2006
Last updated
04/20/2011
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