MR. ROBERT GARY MACK II BACHELOR
NPI 1619018793
Contractor in Greenwood, AR

Active since February 09, 2007
2712 EDGEWATER DRIVE, GREENWOOD, AR 72936(479) 414-1190 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Robert Gary Mack Ii Bachelor NPPES

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

MR. ROBERT GARY MACK II BACHELOR (NPI 1619018793) is an individual contractor provider in Greenwood, Arkansas, licensed in Arkansas (1002664) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1619018793
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameMR. ROBERT GARY MACK IICredential: BACHELOR
Location Address2712 EDGEWATER DRIVEGreenwood, AR 72936
Mailing Address2712 Edgewater DriveGreenwood, AR 72936 · (479) 414-1190
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1619018793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
License Licensed in AR · 1002664
Definition

For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

2712 EDGEWATER DRIVE, Greenwood, AR 72936

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619018793, enumerated as an "individual" on February 09, 2007.

The provider is located at 2712 EDGEWATER DRIVE GREENWOOD, AR 72936 and the phone number is (479) 414-1190.

Contractor with taxonomy code 171W00000X.

The provider might be accepting Accepts: Arkansas Blue Cross and Blue Shield, Health. Please consult your insurance carrier or call the provider to verify.