| Jt Dewitt D.o.p.a | |
|
2210 W Kingshighway Suite 7 Paragould AR 72450-3917 | |
| (870) 236-2911 | |
| Not Available |
| Full Name | Jt Dewitt D.o.p.a |
|---|---|
| Speciality | Family Medicine |
| Location | 2210 W Kingshighway, Paragould, Arkansas |
| Authorized Official Name and Position | Jt Dewitt (PRESIDENT) |
| Authorized Official Contact | 8709265295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jt Dewitt D.o.p.a 2210 W Kingshighway Suite 7 Paragould AR 72450-3917 Ph: (870) 236-2911 | Jt Dewitt D.o.p.a 2210 W Kingshighway Suite 7 Paragould AR 72450-3917 Ph: (870) 236-2911 |
| NPI Number | 1619413127 |
|---|---|
| Provider Enumeration Date | 01/09/2017 |
| Last Update Date | 03/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619413127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | E4975 (Arkansas) | Primary |
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