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Organization
HENRY M BORN MD PC
Active
Organization
HENRY M BORN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY M BORN MD (PRESIDENT)
(256) 492-0544
Entity
Organization
Contact information
Practice address
3871 OLD US HIGHWAY 278 E, HOKES BLUFF, AL 35903-7507
(256) 492-0544
(256) 492-0558
Mailing address
3871 OLD US HIGHWAY 278 E, HOKES BLUFF, AL 35903-7507
(256) 492-0544
(256) 492-0558
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
Other
Enumeration date
09/27/2010
Last updated
09/27/2010
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