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Organization

SBJS PC

Active
Other names
Southern Bone & Joint Specialists
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM BERRY SOWELL (CEO)
(334) 793-2663
Entity
Organization

Contact information

Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207QS0010X
Sports Medicine (Family Medicine) Physician
AL
207X00000X
Orthopaedic Surgery Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician
2084N0400X
Neurology Physician
AL
213E00000X
Podiatrist
225100000X
Physical Therapist
225X00000X
Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DB5197
RR MEDICARE PROVIDER #
AL
Enumeration date
12/30/2005
Last updated
08/06/2015
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