| Wiregrass Family Practice Of Dothan Pc | |
|
1836 W Main St Dothan AL 36301-1320 | |
| (334) 699-8585 | |
| (334) 699-8587 |
| Full Name | Wiregrass Family Practice Of Dothan Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1836 W Main St, Dothan, Alabama |
| Authorized Official Name and Position | Mims Hackett (ADMINISTRATOR) |
| Authorized Official Contact | 3346998585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiregrass Family Practice Of Dothan Pc 1836 W Main St Dothan AL 36301-1320 Ph: (334) 699-8585 | Wiregrass Family Practice Of Dothan Pc 1836 W Main St Dothan AL 36301-1320 Ph: (334) 699-8585 |
| NPI Number | 1235238635 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235238635 | NPI | - | NPPES |
| 51530696 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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