| Renaissance Health And Wellness | |
|
600 Autumn Rd Little Rock AR 72211-3606 | |
| (501) 448-2342 | |
| (501) 221-0615 |
| Full Name | Renaissance Health And Wellness |
|---|---|
| Speciality | General Practice |
| Location | 600 Autumn Rd, Little Rock, Arkansas |
| Authorized Official Name and Position | Chester L Carlson (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 4796576888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renaissance Health And Wellness Po Box 11020 Fort Smith AR 72917-1020 Ph: (479) 434-4887 | Renaissance Health And Wellness 600 Autumn Rd Little Rock AR 72211-3606 Ph: (501) 448-2342 |
| NPI Number | 1497168397 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 06/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497168397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | E5307 (Arkansas) | Primary |
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