Organization
MOWA BAND OF CHOCTAW INDIANS
Active
Other names
MOWA CHOCTAW TRIBAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LEBARON BYRD (CHIEF)
(251) 786-0829
Entity
Organization
Contact information
Practice address
1080 RED FOX RD W, MOUNT VERNON, AL 36560-2629
(251) 829-9023
(855) 933-1195
Mailing address
1080 RED FOX RD W, MOUNT VERNON, AL 36560-2629
(251) 786-0829
(855) 933-1195
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
04/17/2024
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