Cavs
NPI #1063514388 in North Little Rock, Arkansas
Provider Information
- NPI Number
- 1063514388
- Entity Type
- Organization
- Organization Name
- Cavs
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 11C/NLR TOWBIN HEALTH CARE 2200 FORT ROOTS DRIVE
- State
- Arkansas
- ZIP Code
- 72114
- Phone
- (501) 257-2627
Authorized Official
- Name
- DR. TERENCE BENJAMIN WILSON, MD
- Title
- STAFF PHYSICIAN
- Phone
- (501) 257-2627
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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