Organization
CONWAY COMMUNITY SERVICES
Active
Other names
CCS Physician Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
TROY WELLS (PRESIDENT)
(501) 202-2080
Entity
Organization
Contact information
Practice address
1555 EXCHANGE AVE, CONWAY, AR 72032-7824
(501) 585-2000
Mailing address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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