NPI 1821665621
Santa Rosa Hma Physician Management LLC
Practice location
- Address
- 1121 Belleville Ave, Brewton, AL 36426-1500
- Phone
- (251) 809-3230
- Fax
- (850) 626-5474
- Mailing address
- PO Box 689022, Franklin, TN 37068-9022
Authorised official
- Name
- Jennifer L Jackson
- Title
- Sr Dir Prov Enrollment & Onboarding
- Phone
- (615) 465-3334
Registered specialties (2)
Orthopaedic Surgery Physician
Primary
Orthopaedic Surgery of the Spine Physician
Registry record
- NPI
- 1821665621
- Entity type
- Organization
- NPI issued
- 9 Jun 2021
- Record last updated
- 16 Mar 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.