Central Arkansas Womens Clinic P.a.

NPI #1124124391 in Benton, Arkansas

Provider Information

NPI Number: 1124124391
Entity Type: Organization
Organization Name: Central Arkansas Womens Clinic P.a.
Primary Specialty: Specialist
Enumeration Date: Sep 15, 2006
Last Updated: Apr 20, 2011

Practice Location

Address: 910 NORTH EAST STREET
Address 2: STE 206
City: Benton
State: Arkansas
ZIP Code: 72015
Phone: (501) 778-0427

Authorized Official

Name: MRS. MARCY L LUMPKINS, CLINIC MANAGER
Title: CLINIC MANAGER
Phone: (501) 778-0427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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