NPI 1013686641

B a Scroggins, INC.

Organisation Primary Care Clinic/Center Conway, AR

Practice location

Address: 1355 Dave Ward Dr STE 101, Conway, AR 72034-7082
Phone: (501) 269-5105
Mailing address: 350 Grandview Hts, Conway, AR 72032-8875

Authorised official

Name: Brent Ashley Scroggins
Title: Ceo
Phone: (501) 269-5105

Registered specialties

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X

Other Clinic/Center providers in Arkansas →

Registry record

NPI: 1013686641
Entity type: Organization
NPI issued: 8 Sep 2021
Record last updated: 8 Sep 2021

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.