| NPI | 1164069472 |
|---|---|
| Doing Business As | SOUTHWELL GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | TROY BROOKS SVP/CFO 229-353-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2022-10-18 |