Fairview Clinic, P.c. | |
1118 Ross Clark Cir Suite 303 Dothan AL 36301-3001 | |
(334) 794-3192 | |
(334) 792-7513 |
Full Name | Fairview Clinic, P.c. |
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Speciality | Internal Medicine |
Location | 1118 Ross Clark Cir, Dothan, Alabama |
Authorized Official Name and Position | Debbie I Yurevich (ADMINISTRATOR) |
Authorized Official Contact | 3347943192 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fairview Clinic, P.c. 1118 Ross Clark Cir Suite 303 Dothan AL 36301-3001 Ph: (334) 794-3192 | Fairview Clinic, P.c. 1118 Ross Clark Cir Suite 303 Dothan AL 36301-3001 Ph: (334) 794-3192 |
NPI Number | 1184693053 |
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Provider Enumeration Date | 03/14/2006 |
Last Update Date | 10/01/2007 |
Medicare PECOS PAC ID | 5991722076 |
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Medicare Enrollment ID | O20051027001016 |
Identifier | Type | State | Issuer |
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1184693053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Fiona I Masters |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194885681 PECOS PAC ID: 2264427236 Enrollment ID: I20040419000831 |
Provider Name | John M Mcdonald |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1558301481 PECOS PAC ID: 2062409063 Enrollment ID: I20040907001312 |
Provider Name | Robert M Ortiz |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851430383 PECOS PAC ID: 6608974910 Enrollment ID: I20070611000463 |
Provider Name | David D Gayle |
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Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1336133131 PECOS PAC ID: 6204876378 Enrollment ID: I20070823000456 |
Provider Name | Justin L Casey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053549063 PECOS PAC ID: 6204978349 Enrollment ID: I20100127000669 |
Provider Name | Christopher L Miller |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477528990 PECOS PAC ID: 3678618238 Enrollment ID: I20100308000019 |
Provider Name | James A Robeson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1801861059 PECOS PAC ID: 4284710534 Enrollment ID: I20100707000057 |
Provider Name | Alexis N Wood |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609200922 PECOS PAC ID: 3173767977 Enrollment ID: I20130918000015 |
Provider Name | William B Hundley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407149511 PECOS PAC ID: 5799924932 Enrollment ID: I20140904002359 |
Provider Name | Magan B Parker |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932692282 PECOS PAC ID: 7810248176 Enrollment ID: I20180925003728 |
Provider Name | Jennifer Thompson |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1154978617 PECOS PAC ID: 5395077747 Enrollment ID: I20191104002872 |
Provider Name | Victoria Hatcher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235621384 PECOS PAC ID: 4284068289 Enrollment ID: I20191230000114 |
Provider Name | Ashley B Maddox |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730725508 PECOS PAC ID: 5193151165 Enrollment ID: I20200211001438 |
Provider Name | Ryan R Shingler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073924676 PECOS PAC ID: 0941500946 Enrollment ID: I20220601000479 |
Provider Name | Joey Sasser |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1184249880 PECOS PAC ID: 0244619443 Enrollment ID: I20220617001959 |
Provider Name | William Bancroft |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1760046460 PECOS PAC ID: 8123495355 Enrollment ID: I20221101001718 |
Provider Name | Amber N Brannon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417534330 PECOS PAC ID: 0941664411 Enrollment ID: I20230915003671 |
Provider Name | Traci M Stafford |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639700602 PECOS PAC ID: 9436570389 Enrollment ID: I20231017000808 |
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