Dr Primus Mbawuike, MD | |
201 N Clifton St, Fordyce, AR 71742-3026 | |
(870) 352-6300 | |
Not Available |
Full Name | Dr Primus Mbawuike |
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Gender | Male |
Speciality | General Practice |
Location | 201 N Clifton St, Fordyce, Arkansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487008793 | NPI | - | NPPES |
Entity Name | Jefferson Hospital Association Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932157674 PECOS PAC ID: 8123927431 Enrollment ID: O20040106000512 |
Entity Name | Arkansas Emergency Staffing Solutions Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275774630 PECOS PAC ID: 3274681341 Enrollment ID: O20090501000014 |
Entity Name | Ess Hospitalist Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881967305 PECOS PAC ID: 6103085295 Enrollment ID: O20120308000726 |
Entity Name | Hospital Care Consultants Of Fordyce Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316497464 PECOS PAC ID: 5395024475 Enrollment ID: O20161112000042 |
Entity Name | Ess Of Fordyce Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821547977 PECOS PAC ID: 1254611601 Enrollment ID: O20161201001070 |
Entity Name | Shiloh Emergency Group Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205458189 PECOS PAC ID: 6901228154 Enrollment ID: O20200617002064 |
Entity Name | Hcc Of Warren Hospitalist, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326641606 PECOS PAC ID: 5698189280 Enrollment ID: O20210121002187 |
Entity Name | Hcc Of Warren Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952904237 PECOS PAC ID: 6406260371 Enrollment ID: O20210204001426 |
Mailing Address | Practice Location Address |
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Dr Primus Mbawuike, MD 13200 Chenal Pkwy, Apt 221, Little Rock, AR 72211-5388 Ph: (314) 210-2075 | Dr Primus Mbawuike, MD 201 N Clifton St, Fordyce, AR 71742-3026 Ph: (870) 352-6300 |