PARK THETFORD CHITTOM II

SELMA, AL
NPI1093796047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: AL  21882)
Enumeration Date2005-11-08
Last Update Date2008-01-21
Business Address
-- PARK THETFORD CHITTOM II M.D.
509 PARKMAN AVE
SELMA, AL 36701-5734
Phone number: 334-874-9064
Mailing Address
-- PARK THETFORD CHITTOM II M.D.
509 PARKMAN AVE P.O. BOX 530
SELMA, AL 36701-5734
Phone number: 334-874-9064