Doctor Name: | NATHAN ROSS HEWLETT |
NPI Number: | 1770927287 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD.33615 |
Business Practice Address: | 130 S Crest Dr Ste 110 Birmingham, AL - 352094704 |
Business Phone Number: | 2059101797 |
Business Fax Number: | |
Mailing Address: | 130 S Crest Dr, Ste 110 BIRMINGHAM |
State: | AL |
Postal Code: | 352094704 |
Phone Number: | 2059101797 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2013 |
NPI Last Update Date: | 04/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MD.33615 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |