| Organization Name: | HEALTHWORKS MED GROUP OF ALABAMA P C |
| NPI Number: | 1104284405 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS BREWER (DIRECTOR) |
| Mailing Address: | 100 Jensen Rd Prattville |
| State: | AL US |
| Postal Code: | 360674868 |
| Phone Number: | 3343615568 |
| Fax Number: | 3343655623 |
| NPI Enumeration Date: | 02/02/2016 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |