Individual
MARK WHITWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 RACQUET CLUB PKWY STE A, PELHAM, AL 35124-6185
(205) 971-1601
(205) 971-1620
Mailing address
30 RACQUET CLUB PKWY, PELHAM, AL 35124-6185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
43608
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2019
Last updated
02/02/2023
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