Healthcare Provider Details

I. General information

NPI: 1013198985
Provider Name (Legal Business Name): GRAHAM L. HOWORTH, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 11/20/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1120 AIRPORT DR STE 101
ALEXANDER CITY AL
35010-3444
US

IV. Provider business mailing address

1120 AIRPORT DR STE 101
ALEXANDER CITY AL
35010-3444
US

V. Phone/Fax

Practice location:
  • Phone: 256-234-0989
  • Fax: 256-234-3114
Mailing address:
  • Phone: 256-234-0989
  • Fax: 256-234-3114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number00011454
License Number StateAL

VIII. Authorized Official

Name: MR. GRAHAM L. HOWORTH JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 256-234-0989