| NPI | 1619413127 |
|---|---|
| Doing Business As | SYNERGY ELITE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JT DEWITT President 870-926-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AR E4975) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2018-03-21 |