Provider Demographics
NPI:1043530892
Name:G.F. ATWELL CORPORATION
Entity Type:Organization
Organization Name:G.F. ATWELL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:G
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:ATWELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:256-236-6090
Mailing Address - Street 1:901 LEIGHTON AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5700
Mailing Address - Country:US
Mailing Address - Phone:256-236-6090
Mailing Address - Fax:256-236-0713
Practice Address - Street 1:901 LEIGHTON AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5700
Practice Address - Country:US
Practice Address - Phone:256-236-6090
Practice Address - Fax:256-236-0713
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-03
Last Update Date:2010-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL36521223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000091230Medicare UPIN