Organization
MEDWEST CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEBRINA B HOLT (EXECUTIVE DIRECTOR)
(256) 216-9648
Entity
Organization
Contact information
Practice address
7715 US HIGHWAY 72, ATHENS, AL 35611-8979
(256) 729-9477
(256) 729-9464
Mailing address
7715 US HIGHWAY 72, ATHENS, AL 35611-8979
(256) 729-9477
(256) 729-9464
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/16/2014
Last updated
01/05/2024
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