Organization · Type 2 NPI

Prestige Care, PLLC

Family Medicine Physician · Blytheville, AR

NPI number 1255122602 Active

Practice location

1100 Medical Dr Ste C
Blytheville, AR 72315-2437

Call (870) 472-8403 Map

Fax (870) 472-8370

Mailing address

PO Box 9178
Russellville, AR 72811-9178

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other family medicine physician providers in Blytheville

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NPI record

NPI: 1255122602
Entity type: Organization (Type 2)
Issued: May 15, 2025
Last updated: Jun 26, 2025
Status: Active

Other names

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Prestige Care - Blytheville · doing business as
Prestige Care - Blytheville · doing business as

Authorized official

Benjamin Wagner Carlyle
Owner
(479) 498-6700

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255122602

Prestige Care, PLLC's National Provider Identifier is 1255122602, issued on May 15, 2025. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Blytheville, AR. The record was last updated on Jun 26, 2025.