| Dothan Internal Medicine | |
|
1118 Ross Clark Cir Suite 105 Dothan AL 36301-3001 | |
| (334) 699-2004 | |
| (334) 699-2006 |
| Full Name | Dothan Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1118 Ross Clark Cir, Dothan, Alabama |
| Authorized Official Name and Position | Rodney K Beauchamp (PRESIDENT) |
| Authorized Official Contact | 3346992004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dothan Internal Medicine 1118 Ross Clark Cir Suite 105 Dothan AL 36301-3001 Ph: (334) 699-2004 | Dothan Internal Medicine 1118 Ross Clark Cir Suite 105 Dothan AL 36301-3001 Ph: (334) 699-2004 |
| NPI Number | 1598822272 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 01/31/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598822272 | NPI | - | NPPES |
| 51522252 | Other | AL | BCBS |
| 529919960 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 00020759 (Alabama) | Primary |
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