NPI | 1275990871 |
---|---|
Doing Business As | CONWAY REGIONAL MEDICAL CLINIC-PRINCE ST. |
Entity Type | Organization |
Authorized Contact | WILLIAM PACK CFO 501-450-2112 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2016-01-27 |
Last Update Date | 2023-11-09 |