# BRENT V. WITHERINGTON, M.D. P. A.

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

## Provider details

- **NPI number:** 1972247211
- **Authorized official:** DR. BRENT V. WITHERINGTON M.D. (PRESIDENT)
- **Authorized official phone:** (501) 680-8963

## Contact information

- **Practice address:** 3103 ALMA HWY, VAN BUREN, AR 72956-5027
- **Practice address phone:** (479) 474-4483
- **Mailing address:** 11701 SOUTHCREST DR, FORT SMITH, AR 72916-9341
- **Mailing address phone:** (501) 680-8963

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2022
- **Last updated:** 07/27/2022