Selfrecovery

NPI #1013363225 in Lanett, Alabama

Provider Information

NPI Number: 1013363225
Entity Type: Organization
Organization Name: Selfrecovery
Primary Specialty: Family Medicine
Enumeration Date: May 5, 2016
Last Updated: May 5, 2016

Practice Location

Address: 106 N LANIER AVE
City: Lanett
State: Alabama
ZIP Code: 36863-2014
Phone: (334) 644-6848

Authorized Official

Name: GAIL M JONES
Title: OFFICE
Phone: (334) 341-1249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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