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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