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Individual

DR. ALVIN D SEWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 749-5800
(704) 626-3237
Mailing address
PO BOX 117661, ATLANTA, GA 30368-7661
(704) 749-5800
(704) 626-3237

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
030670
GA
207L00000X
Anesthesiology Physician
Primary
2023-00771
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000412233I
GA
01
P00234801
RAIL ROAD MEDICARE - NEX
GA
Enumeration date
12/13/2006
Last updated
04/24/2023
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