Organization
NWMC-WINFIELD PHYSICIAN PRACTICES LLC
Active
Parent organization
NWMC-WINFIELD PHYSICIAN PRACTICES LLC
Other names
Northwest Surgical Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
NWMC-WINFIELD PHYSICIAN PRACTICES LLC
Authorized official
JEFFREY MANORD M. D. (PHYSICIAN)
(205) 487-7800
Entity
Organization
Contact information
Practice address
255 MEDICAL DRIVE, SUITE 4, WINFIELD, AL 35594
(205) 487-7800
(205) 487-7614
Mailing address
255 MEDICAL DRIVE, SUITE 4, WINFIELD, AL 35594
(205) 487-7800
(205) 487-7614
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23436
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932829
—
AL
01
—
DG4823
RAILROAD MEDICARE
AL
Enumeration date
07/17/2007
Last updated
05/05/2008
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