Individual
DR. MARVIN MCCOY HEWLETT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
402 E COMMERCE STREET, GREENVILLE, AL 36037
(334) 382-5431
(334) 382-2492
Mailing address
402 E COMMERCE STREET, GREENVILLE, AL 36037
(334) 382-5431
(334) 382-2492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3171
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05867
BCBS OF ALABAMA
AL
Enumeration date
08/29/2006
Last updated
07/08/2007
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