Organization
MILLPORT INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ENOCH SWANSON (MANAGING PARTNER)
(205) 662-5784
Entity
Organization
Contact information
Practice address
13530 HIGHWAY 96, MILLPORT, AL 35576-2522
(205) 662-5784
Mailing address
13530 HIGHWAY 96, MILLPORT, AL 35576-2522
(205) 662-5784
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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