| Wiregrass Medical Associates 2 Llc | |
|
2431 W Main St Ste 1102 Dothan AL 36301-1217 | |
| (334) 699-5780 | |
| (334) 699-5786 |
| Full Name | Wiregrass Medical Associates 2 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2431 W Main St, Dothan, Alabama |
| Authorized Official Name and Position | Kenneth W Harris (OWNER) |
| Authorized Official Contact | 3346995780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiregrass Medical Associates 2 Llc 2431 W Main St Ste 1102 Dothan AL 36301-1217 Ph: (334) 699-5780 | Wiregrass Medical Associates 2 Llc 2431 W Main St Ste 1102 Dothan AL 36301-1217 Ph: (334) 699-5780 |
| NPI Number | 1457898983 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457898983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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