Organization
WEDOWEE SPECIALTY CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINT HOFFMAN (SR. VP OF TMG OPERATIONS)
(770) 838-8302
Entity
Organization
Contact information
Practice address
1030 MAIN ST S STE 201, WEDOWEE, AL 36278-7440
(256) 357-2188
(256) 357-2023
Mailing address
100 GREENWAY BLVD FL 2, CARROLLTON, GA 30117-4338
(770) 838-8710
(770) 812-5735
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
04/27/2021
Last updated
02/29/2024
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