Organization
ARKANSAS MOBILE WOUND MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BALOGH (OWNER)
(501) 602-8979
Entity
Organization
Contact information
Practice address
7509 S SHORELINE BLVD, BENTON, AR 72019-8473
(501) 602-8979
Mailing address
7509 S SHORELINE BLVD, BENTON, AR 72019-8473
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
05/03/2024
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