Carlon Gragg

Case Manager/Care Coordinator · Malvern, AR

Individual Active NPI

NPI number 1376146225

Practice location

1628 E Page Ave
Malvern, AR 72104-4524
Phone
(501) 315-3344

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NPI record

NPI
1376146225
Entity type
Individual (Type 1)
Enumeration date
November 20, 2020
Last updated
November 20, 2020
Certified
November 20, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —

Mailing address

PO Box 1589
Benton, AR 72018-1589
Phone
(501) 315-3344

About Carlon Gragg

Carlon Gragg is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 1628 E Page Ave, Malvern, AR 72104-4524. The NPI number 1376146225 was assigned on November 20, 2020 and the record was last updated on November 20, 2020.

Frequently asked questions

What is the NPI number of Carlon Gragg?

The NPI number is 1376146225.

What is the phone number of Carlon Gragg?

The phone number listed for the practice location is (501) 315-3344.

Where is Carlon Gragg located?

1628 E Page Ave, Malvern, AR 72104-4524.

What is the taxonomy code for Carlon Gragg?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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