Robert Gary Mack is a Contractor in Greenwood, Arkansas. Robert Gary Mack practices all healthcare services and medical treatments related to Contractor. The NPI Number for Robert Gary Mack is 1619018793. The last update date is 2007-07-09.
Robert Gary Mack's current location address is 2712 Edgewater Drive, Greenwood, Arkansas. You can contact this provider via phone number 4794141190. The mailing address for Robert Gary Mack is 2712 Edgewater Drive, Greenwood, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Gary Mack |
|---|---|
| Address | 2712 Edgewater Drive, Greenwood, Arkansas |
| Phone Number | 4794141190 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | BACHELOR |
NPI Number Detail
| NPI Number | 1619018793 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2712 Edgewater Drive |
|---|---|
| City | Greenwood |
| State | Arkansas (AR) |
| Post Code | 72936 |
| Phone Number | 4794141190 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | 1002664 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique identification code assigned to Robert Gary Mack by the Centers for Medicare & Medicaid Services?
The Robert Gary Mack has been issued the NPI (National Provider Identifier) 1619018793. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Robert Gary Mack is physically located?
The Robert Gary Mack is physically situated at the following address: 2712 Edgewater Drive, Greenwood, AR, 72936.
What is Robert Gary Mack's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Gary Mack's area of specialization is Contractor, and the corresponding taxonomy code that categorizes this field of practice is 171W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1619018793 to Robert Gary Mack?
The Robert Gary Mack received its 1619018793 assignment from the Centers for Medicare & Medicaid Services on 2007-02-09.
As of what date was the information regarding Robert Gary Mack, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Robert Gary Mack, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.
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