Organization
SOUTHEAST PODIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT M HARWOOD DPM (OWNER)
(251) 928-6768
Entity
Organization
Contact information
Practice address
1318 S MAIN ST, ATMORE, AL 36502-2834
(800) 598-9527
Mailing address
23937 US HIGHWAY 98, SUITE 1, FAIRHOPE, AL 36532-3353
(251) 928-6768
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Enumeration date
05/29/2013
Last updated
11/01/2013
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