| Organization Name: | EPOCH HEALTH- BENTON, PLLC. |
| NPI Number: | 1033507439 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TAMORA DAWN BROWN (AUTHORIZED OFFICIAL) |
| Mailing Address: | 5 Medical Park Dr Benton |
| State: | AR US |
| Postal Code: | 720153729 |
| Phone Number: | 8773218452 |
| Fax Number: | |
| NPI Enumeration Date: | 01/07/2015 |
| NPI Last Update Date: | 01/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |