| Eaw Inc | |
|
525 Hendrix Cv Conway AR 72034-7742 | |
| (501) 450-6400 | |
| (501) 450-6440 |
| Full Name | Eaw Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 Hendrix Cv, Conway, Arkansas |
| Authorized Official Name and Position | Eric A Woodard (PRESIDENT) |
| Authorized Official Contact | 5014506400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eaw Inc Po Box 607 Conway AR 72033-0607 Ph: (501) 450-6400 | Eaw Inc 525 Hendrix Cv Conway AR 72034-7742 Ph: (501) 450-6400 |
| NPI Number | 1487882023 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 01/08/2025 |
| Medicare PECOS PAC ID | 5496808669 |
|---|---|
| Medicare Enrollment ID | O20090805000710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487882023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Eric Woodard |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932235785 PECOS PAC ID: 8426101684 Enrollment ID: I20090805000696 |
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