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Organization
JT DEWITT D.O.P.A
Active
Organization
JT DEWITT D.O.P.A
Active
Other names
Synergy Elite Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JT DEWITT JR. D.O. (PRESIDENT)
(870) 926-5295
Entity
Organization
Contact information
Practice address
2210 W KINGSHIGHWAY, SUITE 7, PARAGOULD, AR 72450-3917
(870) 236-2911
Mailing address
2210 W KINGSHIGHWAY, SUITE 7, PARAGOULD, AR 72450-3917
(870) 236-2911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E4975
AR
Other
Enumeration date
01/09/2017
Last updated
03/21/2018
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