Whalio Doctors

NPI 1033822960

Conway Medical and Wellness Clinic, LLC

Organisation Health Service Clinic/Center Conway, AR

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
Ambulatory Health Care Facilities Taxonomy 261QH0100X

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.