Organization
MAGIE MABREY EYE CLINIC, P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL LYNN PETERS (OFFICE MANAGER)
(501) 327-4444
Entity
Organization
Contact information
Practice address
924 MAIN ST, CONWAY, AR 72032
(501) 327-4444
(501) 327-3962
Mailing address
924 MAIN ST, CONWAY, AR 72032-5424
(501) 327-4444
(501) 327-3962
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102200002
—
AR
Enumeration date
11/30/2005
Last updated
01/23/2020
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