Individual
JEFFREY ANDREW WITHROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
530 JIM MCLEMORE RD, HARVEST, AL 35749-8542
(256) 503-7798
Mailing address
530 JIM MCLEMORE RD, HARVEST, AL 35749-8542
(256) 503-7798
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
810
AL
Other
Enumeration date
09/13/2012
Last updated
09/13/2012
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