| Dothan Psychiatry & Sleep Disorders Medicine, Pc | |
|
4300 W Main St Suite 102 Dothan AL 36305-1054 | |
| (334) 793-9564 | |
| (334) 671-8907 |
| Full Name | Dothan Psychiatry & Sleep Disorders Medicine, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4300 W Main St, Dothan, Alabama |
| Authorized Official Name and Position | Lois W Sallas (ADMINISTRATOR) |
| Authorized Official Contact | 3347939564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dothan Psychiatry & Sleep Disorders Medicine, Pc 4300 W Main St Suite 102 Dothan AL 36305-1054 Ph: (334) 793-9564 | Dothan Psychiatry & Sleep Disorders Medicine, Pc 4300 W Main St Suite 102 Dothan AL 36305-1054 Ph: (334) 793-9564 |
| NPI Number | 1518947019 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6002839156 |
|---|---|
| Medicare Enrollment ID | O20060104000666 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518947019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Emmalyn A Bady-mcdowell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336134584 PECOS PAC ID: 7618039942 Enrollment ID: I20100611000562 |
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