NPI | 1487284956 |
---|---|
Doing Business As | SOUTHWELL MEDICAL SYLVESTER PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER DORMAN President/CEO 229-353-6104 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-01-23 |
Last Update Date | 2022-06-24 |