Wiregrass Wound Care Consultants Llc | |
1908 Fairview Ave Dothan AL 36301-3008 | |
(251) 295-2815 | |
(251) 295-2815 |
Full Name | Wiregrass Wound Care Consultants Llc |
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Speciality | Internal Medicine |
Location | 1908 Fairview Ave, Dothan, Alabama |
Authorized Official Name and Position | Jeffrey Herbert Fadil (PHYSICIAN) |
Authorized Official Contact | 2512952815 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wiregrass Wound Care Consultants Llc 725 N Highway A1a Suite C112-113 Jupiter FL 33477-4571 Ph: (561) 578-8407 | Wiregrass Wound Care Consultants Llc 1908 Fairview Ave Dothan AL 36301-3008 Ph: (251) 295-2815 |
NPI Number | 1003245838 |
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Provider Enumeration Date | 11/02/2013 |
Last Update Date | 12/09/2013 |
Medicare PECOS PAC ID | 0042449571 |
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Medicare Enrollment ID | O20140204000437 |
Identifier | Type | State | Issuer |
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1003245838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 29664 (Alabama) | Primary |
Provider Name | Jeffrey H Fadil |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1467529495 PECOS PAC ID: 1759437510 Enrollment ID: I20090918000481 |
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 |