Contract Physician

NPI #1306158720 in Daphne, Alabama

Provider Information

NPI Number
1306158720
Entity Type
Organization
Organization Name
Contract Physician
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jul 14, 2010
Last Updated
Jul 14, 2010

Practice Location

Address
412 VILLAGE DR
City
Daphne
State
Alabama
ZIP Code
36526-4001
Phone
(251) 621-7442

Authorized Official

Name
DR. HARRY SEARING POND III, M.D.
Title
CONTRACT PHYSICIAN
Phone
(251) 621-7442

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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