Individual
DONALD HARRIS PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1021 POPLAR STREET, CLARKSVILLE, AR 72830
(479) 754-8610
(479) 754-8788
Mailing address
350 SALEM ROAD, SUITE 1, CONWAY, AR 72034
(501) 336-8300
(501) 329-3572
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C4630
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440060001
—
AR
Enumeration date
10/12/2006
Last updated
11/14/2011
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