| Organization Name: | EPOCH HEALTH - CONWAY, PLLC |
| NPI Number: | 1447679592 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM GREENE (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 800 Exchange Ave Conway |
| State: | AR US |
| Postal Code: | 720327823 |
| Phone Number: | 5019450680 |
| Fax Number: | |
| NPI Enumeration Date: | 04/15/2014 |
| NPI Last Update Date: | 06/11/2014 |
| 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: | |