Organization
FAMILY HEALTH & WELLNESS CENTER L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVISSON EDMOND MD (OWNER)
(256) 454-8620
Entity
Organization
Contact information
Practice address
671 SNOW ST, OXFORD, AL 36203-1212
(256) 454-8620
Mailing address
671 SNOW ST, OXFORD, AL 36203-1212
(256) 454-8620
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD30459
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141772
—
AL
Enumeration date
07/21/2014
Last updated
04/13/2015
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