# CLINT A NETHERLAND, MD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770036808
- **Authorized official:** CLINTON A NETHERLAND M.D. (OWNER)
- **Authorized official phone:** (870) 725-3471

## Contact information

- **Practice address:** 1400 PERSHING HWY, SMACKOVER, AR 71762-2300
- **Practice address phone:** (870) 725-3471
- **Practice address fax:** (870) 725-3041
- **Mailing address:** 1400 PERSHING HWY, SMACKOVER, AR 71762-2300
- **Mailing address phone:** (870) 725-3471
- **Mailing address fax:** (870) 725-3041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | E1883 | AR | Yes |

## Other

- **Enumeration date:** 07/25/2016
- **Last updated:** 09/16/2016
