| |
1435 W Main St Dothan AL 36301-1311 | |
(334) 702-8872 | |
(334) 702-8957 |
Full Name | |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 1435 W Main St, Dothan, Alabama |
Authorized Official Name and Position | Sammy Banner (PRESIDENT) |
Authorized Official Contact | 3347028872 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 8307 Dothan AL 36304-0307 Ph: (334) 702-8872 | 1435 W Main St Dothan AL 36301-1311 Ph: (334) 702-8872 |
NPI Number | 1558616029 |
---|---|
Provider Enumeration Date | 07/19/2012 |
Last Update Date | 07/19/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558616029 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | DO190 (Alabama) | Primary |
Wiregrass Wound Care Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1908 Fairview Ave, Dothan, AL 36301 Phone: 251-295-2815 Fax: 251-295-2815 | |
Sasser Health Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3144 Ross Clark Cir, Dothan, AL 36303 Phone: 334-446-4712 | |
Southern Clinic Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1901 Melba Dr, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614 | |
Carnes Chiropractic And Wellness Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2323 W Main St Ste 109, Dothan, AL 36301 Phone: 334-794-2225 |