Organization
MILLARD H. MCWHORTER III MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILLARD HENRY MCWHORTER III MD (OWNER/PHYSICIAN)
(334) 222-4251
Entity
Organization
Contact information
Practice address
408 S THREE NOTCH ST, ANDALUSIA, AL 36420-4407
(334) 222-4251
(334) 428-2056
Mailing address
PO BOX 1457, ANDALUSIA, AL 36420-1225
(334) 222-4251
(334) 428-2056
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
12674
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009967340
—
AL
Enumeration date
08/31/2011
Last updated
08/31/2011
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