Main Street Medical Clinic, P.a.

NPI #1841298791 in Benton, Arkansas

Provider Information

NPI Number: 1841298791
Entity Type: Organization
Organization Name: Main Street Medical Clinic, P.a.
Primary Specialty: Internal Medicine
Enumeration Date: Jul 13, 2005
Last Updated: May 20, 2021

Practice Location

Address: 722 N MAIN ST
City: Benton
State: Arkansas
ZIP Code: 72015-3337
Phone: (501) 315-0059

Authorized Official

Name: SHERYL WILCHMAN
Title: OFFICE MANAGER
Phone: (501) 315-0059

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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