| Dothan Neurodiagnostic Center Pc | |
|
1800 Fairview Ave Suite 1 Dothan AL 36301-3058 | |
| (334) 793-1703 | |
| (334) 793-9314 |
| Full Name | Dothan Neurodiagnostic Center Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1800 Fairview Ave, Dothan, Alabama |
| Authorized Official Name and Position | Alan D Prince (OWNER) |
| Authorized Official Contact | 3347931703 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dothan Neurodiagnostic Center Pc 1800 Fairview Ave Suite 1 Dothan AL 36301-3058 Ph: (334) 793-1703 | Dothan Neurodiagnostic Center Pc 1800 Fairview Ave Suite 1 Dothan AL 36301-3058 Ph: (334) 793-1703 |
| NPI Number | 1043463557 |
|---|---|
| Provider Enumeration Date | 10/28/2008 |
| Last Update Date | 10/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043463557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 11321 (Alabama) | Primary |
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