# MEDWEST CLINIC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942602412
- **Authorized official:** SEBRINA B HOLT (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (256) 216-9648

## Contact information

- **Practice address:** 7715 US HIGHWAY 72, ATHENS, AL 35611-8979
- **Practice address phone:** (256) 729-9477
- **Practice address fax:** (256) 729-9464
- **Mailing address:** 7715 US HIGHWAY 72, ATHENS, AL 35611-8979
- **Mailing address phone:** (256) 729-9477
- **Mailing address fax:** (256) 729-9464

## Taxonomy

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

## Other

- **Enumeration date:** 09/16/2014
- **Last updated:** 01/05/2024