# JT DEWITT D.O.P.A

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Synergy Elite Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619413127
- **Authorized official:** DR. JT DEWITT JR. D.O. (PRESIDENT)
- **Authorized official phone:** (870) 926-5295

## Contact information

- **Practice address:** 2210 W KINGSHIGHWAY, SUITE 7, PARAGOULD, AR 72450-3917
- **Practice address phone:** (870) 236-2911
- **Mailing address:** 2210 W KINGSHIGHWAY, SUITE 7, PARAGOULD, AR 72450-3917
- **Mailing address phone:** (870) 236-2911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E4975 | AR | Yes |

## Other

- **Enumeration date:** 01/09/2017
- **Last updated:** 03/21/2018
