| NPI | 1336445014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HARRISON SEWELL Owner/Physician 334-699-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 20138) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-069633) |
| 207Q00000X Family Medicine (Licence: AL 1-089295) | |
| Enumeration Date | 2011-01-28 |
| Last Update Date | 2011-01-28 |