| NPI | 1053189662 |
|---|---|
| Doing Business As | COASTAL RIVER WELLNESS OF ALABAMA |
| Entity Type | Organization |
| Authorized Contact | SARAH ELISABETH SHEPPARD Owner 251-510-8134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-20 |