| |
4550 W Main St Suite 1 Dothan AL 36305-1130 | |
(334) 446-4700 | |
(334) 446-4720 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 4550 W Main St, Dothan, Alabama |
Authorized Official Name and Position | Robert Derek Miller (CFO) |
Authorized Official Contact | 3347938111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1928 Dothan AL 36302-1928 Ph: (334) 793-8087 | 4550 W Main St Suite 1 Dothan AL 36305-1130 Ph: (334) 446-4700 |
NPI Number | 1255876181 |
---|---|
Provider Enumeration Date | 01/02/2017 |
Last Update Date | 05/02/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255876181 | NPI | - | NPPES |
153687 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | 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 |