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Contact Information

JOHN G VAN DERWOOD, MD
7101 US HWY 90
202
DAPHNE, AL36526
 Phone: 251-625-8211
 Fax: 251-625-8219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN G VAN DERWOOD · (Male)

NPI Number 1205949013
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2006
Last updated 12/20/2014 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 11539
  • MS License # 14230
  • AL Medicaid 051558401
  • AL Other 510-04616 BLUE CROSS OF AL
Hospital affiliation(s)
  • THOMAS HOSPITAL - (Acute Care)
    750 MORPHY AVENUE
    FAIRHOPE, AL 36532
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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