Healthcare Provider Details

I. General information

NPI: 1780955666
Provider Name (Legal Business Name): NWMC - WINFIELD HOSPITALIST PHYSICIANS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2012
Last Update Date: 01/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 US HIGHWAY 43
WINFIELD AL
35594-5056
US

IV. Provider business mailing address

103 POWELL CT
BRENTWOOD TN
37027-5079
US

V. Phone/Fax

Practice location:
  • Phone: 205-487-7979
  • Fax: 205-487-7982
Mailing address:
  • Phone: 615-372-8500
  • Fax: 615-372-8586

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number
License Number State

VIII. Authorized Official

Name: JESS N. JUDY
Title or Position: PRESIDENT
Credential:
Phone: 615-372-8500