| Nathanael Medical Center | |
|
1435 W Main St Dothan AL 36301-1311 | |
| (334) 702-8872 | |
| (334) 702-8957 |
| Full Name | Nathanael Medical Center |
|---|---|
| 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 |
|---|---|
| Nathanael Medical Center Po Box 8307 Dothan AL 36304-0307 Ph: (334) 702-8872 | Nathanael Medical Center 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 |
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