| NPI | 1346044591 |
|---|---|
| Doing Business As | SOUTHWELL ENT |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DORMAN CEO 229-353-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |