Samc-houston Medical Group | |
1806 Fairview Ave Dothan AL 36301-3026 | |
(334) 677-5986 | |
(334) 677-4901 |
Full Name | Samc-houston Medical Group |
---|---|
Speciality | Family Medicine |
Location | 1806 Fairview Ave, Dothan, Alabama |
Authorized Official Name and Position | Deborah S Woodham (CONTRACT MANAGER) |
Authorized Official Contact | 3347938087 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Samc-houston Medical Group Po Box 578 Dothan AL 36302-0578 Ph: (334) 677-5986 | Samc-houston Medical Group 1806 Fairview Ave Dothan AL 36301-3026 Ph: (334) 677-5986 |
NPI Number | 1023167962 |
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Provider Enumeration Date | 01/09/2007 |
Last Update Date | 06/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023167962 | NPI | - | NPPES |
1023167962 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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