Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROBERT GARY MACK II, BACHELOR
Active Sole ProprietorMR. ROBERT GARY MACK II, BACHELOR is a Contractor healthcare provider located in GREENWOOD, Arkansas. NPI 1619018793 is currently active in the NPPES registry. Verify at CMS.
Contractor · GREENWOOD, AR
Registration Details
- NPI Number
- 1619018793
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 9, 2007 (19.335621938533 yrs)
- Last Updated
- Jul 9, 2007
- License
-
1002664 (AR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2712 EDGEWATER DRIVEGREENWOOD, AR, 72936Browse AR providers · Browse ZIP 72936
- Phone
- 4794141190
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in GREENWOOD, AR
| Name | Credential | NPI |
|---|---|---|
| MS. PAULA JEAN MCCANN | OTR | 1215056429 |
| MRS. CARON LYNN CUNNINGHAM HULSEY | CTR | 1942537121 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.