Organization
SELMA SURGICAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN A. INDOVINA JR. MD (OWNER)
(334) 872-0111
Entity
Organization
Contact information
Practice address
200 VAUGHAN MEMORIAL DR, SELMA, AL 36701-6508
(334) 872-0111
(334) 872-0136
Mailing address
200 VAUGHAN MEMORIAL DR, SELMA, AL 36701-6508
(334) 872-0111
(334) 872-0136
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD28281
AL
Other
Enumeration date
11/08/2007
Last updated
05/30/2008
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