| NPI | 1497330625 |
|---|---|
| Doing Business As | SOUTHWELL PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | TROY BROOKS SVP/CFO 229-353-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-03-09 |
| Last Update Date | 2022-10-18 |