Organization
JP WORNOCK, MD, PA
Active
Parent organization
JP WORNOCK, MD, PA
Other names
PrimeCare Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JP WORNOCK, MD, PA
Authorized official
EMILY HARRELL (HUMAN CAPITAL COORDINATOR)
(501) 764-1800
Entity
Organization
Contact information
Practice address
2504 MCCAIN BLVD, STE 118, NORTH LITTLE ROCK, AR 72116-7607
(501) 812-6655
(501) 812-6677
Mailing address
2504 MCCAIN BLVD, STE 118, NORTH LITTLE ROCK, AR 72116-7607
(501) 812-6655
(501) 812-6677
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
BL2016-00512
AR
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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