Organization
SELMA DOCTORS CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE HINSON (OFFICE MANAGER)
(334) 874-9064
Entity
Organization
Contact information
Practice address
509 PARKMAN AVE, SELMA, AL 36701-5734
(334) 874-9064
(334) 874-2633
Mailing address
509 PARKMAN AVE, P.O. BOX 530, SELMA, AL 36701-5734
(334) 874-9064
(334) 874-2633
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060007
—
AL
01
—
CL0659
RAILROAD MEDICARE
AL
Enumeration date
11/07/2005
Last updated
01/25/2008
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