Organization Name: | HENRY M BORN MD PC |
NPI Number: | 1932418860 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HENRY M BORN (PRESIDENT) |
Mailing Address: | 3871 Old Us Highway 278 E Hokes Bluff |
State: | AL US |
Postal Code: | 359037507 |
Phone Number: | 2564920544 |
Fax Number: | 2564920558 |
NPI Enumeration Date: | 09/27/2010 |
NPI Last Update Date: | 09/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |