| NPI | 1881203305 |
|---|---|
| Doing Business As | SOUTHWELL MOBILE CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM WILLS SVP, CFO 229-353-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2021-07-21 |