Selfrecovery
Organization Active NPI Family Medicine Physician · Lanett, AL
NPI 1013363225 · NPPES record last updated May 5, 2016
Key facts
- NPI
- 1013363225
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 13352 (AL)
- Legal business name
- SELFRECOVERY
- Practice address
- 106 N Lanier Ave
Lanett, AL 36863-2014 - Phone
- (334) 644-6848
- Fax
- (334) 644-5443
- NPI assigned
- May 5, 2016
- Organization subpart
- No
Authorized official
- Name
- Gail M Jones
- Title
- Office
- Phone
- (334) 341-1249
National Provider Directory
Locations
106 N Lanier Ave
Lanett, AL 36863
Phone (334) 644-6848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 13352 | AL | Yes |
Addresses
Primary practice location
106 N Lanier Ave
Lanett, AL 36863-2014
Mailing address
106 N Lanier Ave
Lanett, AL 36863-2014
Phone (334) 644-6848
Other providers in Lanett, AL
- Rowdy Matt Meadows
- Laura Paige Niblett
- Oasis Psychiatric Services, LLC
- Margaret Robb
- Self-Recovery, LLC
- Smile Design Center LLC
- Sheilah Sermana Soriano
- The Kroger Co
- Hannah Miller Tremlett
- Valley Medical Transport LLC
All providers in Lanett, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.