Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CLINTON AVERY NETHERLAND, M.D.
DeactivatedDR. CLINTON AVERY NETHERLAND, M.D. is a Family Medicine healthcare provider located in SMACKOVER, Arkansas. NPI 1235130444 is deactivated in the NPPES registry. Verify at CMS.
Family Medicine · SMACKOVER, AR
This NPI has been deactivated.
The record was deactivated on March 23, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1235130444
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2005 (0.61643835616438 yrs)
- Last Updated
- Mar 7, 2023
- Deactivated
- Mar 23, 2006
- License
-
E1883 (AR)
Practice Information
- Address
-
1400 PERSHING HWYSMACKOVER, AR, 717622300Browse AR providers · Browse ZIP 71762
- Phone
- 8707253471
- Fax
- 8707253471
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in SMACKOVER, AR
| Name | Credential | NPI |
|---|---|---|
| DR. R KEITH DAVIS JR. | M.D. | 1104826320 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.