Internal Medicine Associates Of Dothan, P.a. | |
210 Westside Dr Dothan AL 36303-1928 | |
(334) 793-5074 | |
(334) 793-6460 |
Full Name | Internal Medicine Associates Of Dothan, P.a. |
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Speciality | Internal Medicine |
Location | 210 Westside Dr, Dothan, Alabama |
Authorized Official Name and Position | George Wakefield (ADMINISTRATOR) |
Authorized Official Contact | 3347935074 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Internal Medicine Associates Of Dothan, P.a. 210 Westside Dr Dothan AL 36303-1928 Ph: (334) 793-5074 | Internal Medicine Associates Of Dothan, P.a. 210 Westside Dr Dothan AL 36303-1928 Ph: (334) 793-5074 |
NPI Number | 1336196682 |
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Provider Enumeration Date | 05/30/2006 |
Last Update Date | 12/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336196682 | NPI | - | NPPES |
529302970 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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