Charles C Outlaw, PT | |
3118 Ross Clark Cir, Dothan, AL 36303-3049 | |
(334) 673-2242 | |
(334) 793-8191 |
Full Name | Charles C Outlaw |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 33 Years |
Location | 3118 Ross Clark Cir, Dothan, Alabama |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033168653 | NPI | - | NPPES |
890009440 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1592 (Alabama) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dothan Therapy Associates Inc | 5799731972 | 6 |
Provider Name | Dothan Therapy Associates Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1477647816 PECOS PAC ID: 5799731972 Enrollment ID: O20050330001042 |
Mailing Address | Practice Location Address |
---|---|
Charles C Outlaw, PT 3118 Ross Clark Cir, Dothan, AL 36303-3049 Ph: (334) 673-2242 | Charles C Outlaw, PT 3118 Ross Clark Cir, Dothan, AL 36303-3049 Ph: (334) 673-2242 |
Madison Carter Pemberton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 122 S Woodburn Dr, Dothan, AL 36305 Phone: 334-446-1425 | |
Alana Dianne Pearce, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1207 Ross Clark Cir, Dothan, AL 36301 Phone: 334-500-1150 Fax: 334-828-7125 | |
Daniel R Peters, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3160 W Main St, Suite 1, Dothan, AL 36305 Phone: 334-699-2348 Fax: 334-699-2347 | |
Sherra K Shivers, PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W Main St, Suite 460, Dothan, AL 36301 Phone: 334-794-0591 Fax: 334-793-6073 | |
Malcolm Chase Murphy, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 N Woodburn Dr, Dothan, AL 36303 Phone: 334-794-1000 | |
Laura Lee Homan, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 345 Healthwest Dr, Dothan, AL 36303 Phone: 334-836-5423 Fax: 334-836-2287 |