Dothan Spine & Specialty Llc | |
412 N Foster St Dothan AL 36303-4545 | |
(334) 793-1081 | |
(334) 792-7600 |
Full Name | Dothan Spine & Specialty Llc |
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Speciality | General Practice |
Location | 412 N Foster St, Dothan, Alabama |
Authorized Official Name and Position | Paul D Weeks (PRESIDENT) |
Authorized Official Contact | 3347931081 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dothan Spine & Specialty Llc 412 N Foster St Dothan AL 36303-4545 Ph: (334) 793-1081 | Dothan Spine & Specialty Llc 412 N Foster St Dothan AL 36303-4545 Ph: (334) 793-1081 |
NPI Number | 1104282292 |
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Provider Enumeration Date | 01/06/2016 |
Last Update Date | 04/18/2017 |
Medicare PECOS PAC ID | 1557668365 |
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Medicare Enrollment ID | O20160322001859 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104282292 | NPI | - | NPPES |
529928260 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 2089 (Alabama) | Primary |
Provider Name | David K Arnold |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1790894277 PECOS PAC ID: 7517868417 Enrollment ID: I20040114000699 |
Provider Name | Paul D Weeks |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1346439619 PECOS PAC ID: 2062472657 Enrollment ID: I20041018000963 |
Provider Name | Heath A Parker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811936453 PECOS PAC ID: 0345152872 Enrollment ID: I20140916002009 |
Provider Name | Dallarie Charme Jamison |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083079453 PECOS PAC ID: 3173822335 Enrollment ID: I20160422001086 |
Provider Name | Blake Lemley Pate |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801319249 PECOS PAC ID: 7719247303 Enrollment ID: I20180130000611 |
Provider Name | April G Beltran |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518966522 PECOS PAC ID: 4486614658 Enrollment ID: I20201007002662 |
Provider Name | Tatiana N Aracena |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1922600428 PECOS PAC ID: 9931594009 Enrollment ID: I20220328002142 |
Provider Name | Yolanda Brannon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366085003 PECOS PAC ID: 4880027606 Enrollment ID: I20240328000793 |
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