Organization
SOUTHWESTERN EMERGENCY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED L WOODARD MD (VICE PRESIDENT)
(229) 317-2207
Entity
Organization
Contact information
Practice address
417 W 3RD AVE, ALBANY, GA 31701-1943
(229) 312-4155
(229) 312-4144
Mailing address
PO BOX 408, ALBANY, GA 31702-0408
(205) 437-6098
(205) 437-5998
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5608
RAILROAD MEDICARE
GA
Enumeration date
09/20/2005
Last updated
04/20/2008
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