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 |