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Contact Information

COLLEGE PARK FAMILY CLINIC PA
2511-A COLLEGE AVE
CONWAY, AR72034
 Phone: 501-327-6041
 Fax: 501-327-6043
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for COLLEGE PARK FAMILY CLINIC PA · (Female)

NPI # 1861478232
Status Active
Credentials
Entity Individual
Enumeration date 12/19/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • AR License # C6340
  • AR Other 11451000000 QC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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