| Prestige Care, Pllc | |
|
1100 Medical Dr Ste C Blytheville AR 72315-2437 | |
| (870) 824-2809 | |
| (870) 762-0731 |
| Full Name | Prestige Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Medical Dr Ste C, Blytheville, Arkansas |
| Authorized Official Name and Position | Benjamin Wagner Carlyle (OWNER) |
| Authorized Official Contact | 4794986700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Care, Pllc Po Box 9178 Russellville AR 72811-9178 Ph: (800) 824-4094 | Prestige Care, Pllc 1100 Medical Dr Ste C Blytheville AR 72315-2437 Ph: (870) 824-2809 |
| NPI Number | 1255122602 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255122602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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