| NPI | 1174942684 |
|---|---|
| Doing Business As | SOUTHWEST COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | HOLLY M CROWLEY Medical Director 229-227-2990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 51452) |
| Additional Taxonomies | 208D00000X General Practice (Licence: GA 30647) |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2014-04-11 |