Individual
DR. SEAN BRIAN BOHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
203 VAUGHAN MEMORIAL DR, SELMA, AL 36701-6950
(334) 375-8007
(334) 526-1849
Mailing address
PO BOX 570, SELMA, AL 36702-0570
(334) 375-8007
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.30834
AL
207Q00000X
Family Medicine Physician
Primary
MD.30834
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129899
—
AL
Enumeration date
05/21/2008
Last updated
09/17/2019
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