| Prestige Care - Paragould | |
|
160 Greene 721 Rd Apt D Paragould AR 72450-8933 | |
| (870) 472-8403 | |
| (870) 472-8422 |
| Full Name | Prestige Care - Paragould |
|---|---|
| Speciality | Family Medicine |
| Location | 160 Greene 721 Rd Apt D, Paragould, 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 - Paragould Po Box 9178 Russellville AR 72811-9178 Ph: (800) 824-4094 | Prestige Care - Paragould 160 Greene 721 Rd Apt D Paragould AR 72450-8933 Ph: (870) 472-8403 |
| NPI Number | 1922899368 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 08/01/2025 |
| Certification Date | 08/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922899368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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