NPI 1033822960
Conway Medical and Wellness Clinic, LLC
Practice location
- Address
- 805 Monroe St STE 104, Conway, AR 72032-5642
- Phone
- (501) 932-6070
- Mailing address
- 118 Eagle Ridge Dr, Maumelle, AR 72113-7649
Authorised official
- Name
- Sharonte Lambert Fowler
- Title
- Owner/Aprn
- Phone
- (501) 733-6124
Registered specialties
Health Service Clinic/Center
Primary
Registry record
- NPI
- 1033822960
- Entity type
- Organization
- NPI issued
- 5 Jan 2023
- Record last updated
- 5 Jan 2023
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.