| NPI | 1053933754 |
|---|---|
| Doing Business As | SOUTHWELL NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DORMAN President/CEO 229-353-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2022-06-24 |