# COASTAL RIVER WELLNESS OF ALABAMA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal River Wellness Of Alabama
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053189662
- **Authorized official:** SARAH ELISABETH SHEPPARD (OWNER)
- **Authorized official phone:** (251) 510-8134

## Contact information

- **Practice address:** 620 HIGHWAY 43 S STE F, SARALAND, AL 36571-3603
- **Practice address phone:** (251) 510-8134
- **Mailing address:** 9560 GALLOPS CREEK DR, WILMER, AL 36587-9300
- **Mailing address phone:** (251) 510-8134

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/13/2023
- **Last updated:** 12/20/2023