| NPI | 1871816918 |
|---|---|
| Doing Business As | SOUTHWELL MEDICAL ADEL 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 | 174400000X Specialist |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2022-06-24 |