Ppg Store 6 LLC

Practice location

Address

2235 Dave Ward Dr STE 108, Conway, AR 72034-7040

Phone

(501) 450-0000

Fax

(501) 450-6433

Mailing address

824 Salem Rd STE 210, Conway, AR 72034-4821

Authorised official

Name

Zach Holderfield

Title

Partner/Ao

Phone

(870) 814-0605

Registered specialties (2)

Registry record

NPI

1013422179

Entity type

Organization

NPI issued

11 Dec 2017

Record last updated

18 Apr 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.