Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Robert Gary Mack II, BACHELOR

Individual provider Contractor · NPI 1619018793

Mr. Robert Gary Mack II, BACHELOR is a Contractor in Greenwood, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.

Licensed in
AR
In the registry since
2007
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Practice location Address checks out

2712 Edgewater Dr
Greenwood, AR 72936 Not confirmed with CMS for 19 years — call before visiting
Phone: (479) 414-1190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Contractor (primary) Taxonomy 171W00000X · Licence 1002664 (AR)

Record details

NPI number1619018793
Entity typeIndividual (Type 1)
GenderMale
Credentials BACHELOR
Sole proprietorYes
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 9, 2007

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