Pcmc-Conway PA

NPI #1871755421 in Conway, Arkansas

Provider Information

NPI Number: 1871755421
Entity Type: Organization
Organization Name: Pcmc-Conway PA
Primary Specialty: Family Medicine
Enumeration Date: Jun 25, 2008
Last Updated: Jun 25, 2008

Practice Location

Address: 1014 HARKRIDER ST
Address 2: SUITE B
City: Conway
State: Arkansas
ZIP Code: 72032-4404
Phone: (501) 327-7100

Authorized Official

Name: DR. JOHN PAUL WORNOCK
Title: PRESIDENT
Phone: (501) 279-9000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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