Whalio Doctors

NPI 1821665621

Santa Rosa Hma Physician Management LLC

Organisation Orthopaedic Surgery Physician Brewton, AL

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
Allopathic & Osteopathic Physicians Taxonomy 207X00000X
Orthopaedic Surgery of the Spine Physician
Allopathic & Osteopathic Physicians Taxonomy 207XS0117X

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.