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PETTY MEDICAL CLINIC, LLC
NPI 1255746772
Clinic/Center - Primary Care in Lowell, AR

Active since June 23, 2014
114 HARRISON AVE, SUITE C, LOWELL, AR 72745(479) 254-1005(479) 668-4003 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Petty Medical Clinic, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETTY MEDICAL CLINIC, LLC (NPI 1255746772) is a healthcare organization registered as a primary care in Lowell, Arkansas and active in the NPI registry since June 2014. The organization lists Corwin Petty, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1255746772
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePETTY MEDICAL CLINIC, LLC
Location Address114 HARRISON AVE, SUITE CLowell, AR 72745-9047
Mailing Address114 Harrison Ave, Suite CLowell, AR 72745-9047 · (479) 254-1005 · Fax (479) 668-4003
Phone(479) 254-1005
Fax(479) 668-4003
Organization SubpartNo
Authorized OfficialCorwin PettyPhysician / Owner · (479) 502-4435
Enumeration DateJune 23, 2014
✔ NPI 1255746772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in AR · E2717
114 HARRISON AVE, Lowell, AR 72745
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN LYKINS PD
Pharmacist
114 HARRISON AVE
LOWELL, AR 72745
Benton County (479) 770-0111
DEREK MESSMER PD
Pharmacist
114 HARRISON AVE
LOWELL, AR 72745
Benton County (479) 770-0111
CUSTOM RX
Pharmacy
114 HARRISON AVE
LOWELL, AR 72745
Benton County (479) 770-0052
TRIPHARMA INC
Pharmacy (Community/Retail Pharmacy)
114 HARRISON AVE
LOWELL, AR 72745
Benton County (479) 770-0111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petty Medical Clinic, LLC's NPI number?

The NPI number for Petty Medical Clinic, LLC is 1255746772. It was assigned to this organization in the NPPES registry on June 23, 2014.

Where is Petty Medical Clinic, LLC located?

Petty Medical Clinic, LLC is located at 114 Harrison Ave Suite C, Lowell, AR 72745. The listed phone number is (479) 254-1005.

What is Petty Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Petty Medical Clinic, LLC was last updated on June 23, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.