| Organization Name: | MILLARD H. MCWHORTER III MD PC |
| NPI Number: | 1235410556 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MILLARD HENRY MCWHORTER (OWNER/PHYSICIAN) |
| Mailing Address: | 408 S Three Notch St Andalusia |
| State: | AL US |
| Postal Code: | 364204407 |
| Phone Number: | 3342224251 |
| Fax Number: | 3344282056 |
| NPI Enumeration Date: | 08/31/2011 |
| NPI Last Update Date: | 08/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 12674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |