NPI | 1205474954 |
---|---|
Doing Business As | SOUTHWELL CHF AND COPD CLINIC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DORMAN President/CEO 229-353-6104 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
Enumeration Date | 2019-12-12 |
Last Update Date | 2022-06-24 |