| Clint A Netherland, Md, Pllc | |
|
1400 Pershing Hwy Smackover AR 71762-2300 | |
| (870) 725-3471 | |
| (870) 725-3041 |
| Full Name | Clint A Netherland, Md, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1400 Pershing Hwy, Smackover, Arkansas |
| Authorized Official Name and Position | Clinton A Netherland (OWNER) |
| Authorized Official Contact | 8707253471 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clint A Netherland, Md, Pllc 1400 Pershing Hwy Smackover AR 71762-2300 Ph: (870) 725-3471 | Clint A Netherland, Md, Pllc 1400 Pershing Hwy Smackover AR 71762-2300 Ph: (870) 725-3471 |
| NPI Number | 1770036808 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 09/16/2016 |
| Medicare PECOS PAC ID | 2668769019 |
|---|---|
| Medicare Enrollment ID | O20160928001807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770036808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E1883 (Arkansas) | Primary |
| Provider Name | Clinton A Netherland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235130444 PECOS PAC ID: 7719955137 Enrollment ID: I20160928001773 |
Richard K Davis Md Pllc Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Pershing Hwy, Smackover, AR 71762 Phone: 870-725-3471 Fax: 870-725-3215 | |
R Keith Davis Md Pllc Pa School Based Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 727 Buckaroo Ln, Smackover, AR 71762 Phone: 870-725-3471 Fax: 870-725-3041 | |
R Keith Davis Md Pllc Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 Pershing Hwy, Smackover, AR 71762 Phone: 870-725-3471 Fax: 870-725-3215 |