| NPI | 1720693047 |
|---|---|
| Doing Business As | SOUTHWELL OB/GYN |
| Entity Type | Organization |
| Authorized Contact | TROY BROOKS SVP/CFO 229-353-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2022-10-18 |