NPI | 1124679014 |
---|---|
Doing Business As | SOUTHWELL CENTER FOR HEALING AND WELLNESS |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DORMAN President/CEO 229-353-6104 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-09-23 |
Last Update Date | 2022-06-24 |