Provider Demographics
NPI:1124271580
Name:RIGHT CHOICE FAMILY PRACTICE
Entity type:Organization
Organization Name:RIGHT CHOICE FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY PRACTICE PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:HARRISON
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:334-803-0798
Mailing Address - Street 1:290 HEALTHWEST DR STE 1
Mailing Address - Street 2:P.O. BOX 8667
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36303-2051
Mailing Address - Country:US
Mailing Address - Phone:334-803-0798
Mailing Address - Fax:334-803-0892
Practice Address - Street 1:290 HEALTHWEST DR STE 1
Practice Address - Street 2:
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36303-2051
Practice Address - Country:US
Practice Address - Phone:334-803-0798
Practice Address - Fax:334-803-0892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-29
Last Update Date:2012-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20138207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1568430056OtherINDIVIDUAL NPI
ALG39601Medicare UPIN