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Organization
MOWA BAND OF CHOCTAW INDIANS
Active
Organization
MOWA BAND OF CHOCTAW INDIANS
Active
Other names
MOWA CHOCTAW TRIBAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LEBARON BYRD (CHIEF)
(251) 786-0829
Entity
Organization
Contact information
Practice address
1080 RED FOX RD W, MOUNT VERNON, AL 36560-2629
(251) 829-9023
(855) 933-1195
Mailing address
1080 RED FOX RD W, MOUNT VERNON, AL 36560-2629
(251) 786-0829
(855) 933-1195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
04/17/2024
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