Jt Dewitt D.o.p.a

NPI #1619413127 in Paragould, Arkansas

Provider Information

NPI Number: 1619413127
Entity Type: Organization
Organization Name: Jt Dewitt D.o.p.a
Primary Specialty: Family Medicine
Enumeration Date: Jan 9, 2017
Last Updated: Mar 21, 2018

Practice Location

Address: 2210 W KINGSHIGHWAY
Address 2: SUITE 7
City: Paragould
State: Arkansas
ZIP Code: 72450-3917
Phone: (870) 236-2911

Authorized Official

Name: DR. JT DEWITT JR., D.O.
Title: PRESIDENT
Phone: (870) 926-5295

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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