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Organization
SELMA MEDICAL WEIGHT LOSS AND SPA
Active
Organization
SELMA MEDICAL WEIGHT LOSS AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAI NAMBURU M.D. (PARTNER/MEDICAL DOCTOR)
(334) 872-7575
Entity
Organization
Contact information
Practice address
4 OFFICE PARK CIR, SELMA, AL 36701-6538
(334) 872-7575
(334) 872-7574
Mailing address
4 OFFICE PARK CIR, SELMA, AL 36701-6538
(334) 872-7575
(334) 872-7574
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD26752
AL
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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