Hope & Roots, Llc | |
256 Honeysuckle Rd Ste 27 Dothan AL 36305-1119 | |
(334) 796-3559 | |
(334) 479-0052 |
Full Name | Hope & Roots, Llc |
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Speciality | Psychiatry & Neurology |
Location | 256 Honeysuckle Rd Ste 27, Dothan, Alabama |
Authorized Official Name and Position | William T Elkington (PROVIDER/DOCTOR) |
Authorized Official Contact | 3345470401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope & Roots, Llc 256 Honeysuckle Rd Ste 27 Dothan AL 36305-1119 Ph: (334) 796-3559 | Hope & Roots, Llc 256 Honeysuckle Rd Ste 27 Dothan AL 36305-1119 Ph: (334) 796-3559 |
NPI Number | 1124733191 |
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Provider Enumeration Date | 01/13/2023 |
Last Update Date | 11/26/2024 |
Certification Date | 11/26/2024 |
Medicare PECOS PAC ID | 9234672866 |
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Medicare Enrollment ID | O20240624001475 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124733191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Provider Name | William T Elkington |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1790129252 PECOS PAC ID: 5698041036 Enrollment ID: I20171030002243 |
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