Organization
HAZEL GREEN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BOBBY JAMES NEWBELL M.D. (CEO)
(256) 828-6720
Entity
Organization
Contact information
Practice address
12801 HIGHWAY 231/431, HAZEL GREEN, AL 35750
(256) 828-6720
(256) 828-7230
Mailing address
12801 HIGHWAY 231/431, HAZEL GREEN, AL 35750
(256) 828-6720
(256) 828-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22921
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51507428
BLUE CROSS BLUE SHIELD
AL
Enumeration date
08/31/2006
Last updated
08/22/2020
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