OrganizationActive
Core Empowerment Group LLC
NPI 1962631523 · Genetics Clinic/Center · Benton, AR
Provider details
- NPI number
- 1962631523
- Entity type
- Organization
- Primary specialty
- Genetics Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- William Collie, Coo
- License
- R-2220 (AR)
Practice location
17724 Interstate 30
Ste 2
Benton, AR 72019-2907
Phone: (501) 920-7901
Fax: (501) 325-3469
Mailing address
1201 Military Rd
Benton, AR 72015-2908
Registry dates
- Enumerated
- 2009-07-03
- Last updated
- 2009-07-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.