Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 00005954 | AL |
NPI | 1316944309 |
---|---|
Provider Name | Dr. Julian Parker Howell JR. |
First Address | Selma, AL 36701-6746 |
Second Address | Selma, AL 36701-6746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C73491 | (02) | AL |