Sbjs Pc

NPI 1134106065 - Emergency Medicine - 207P00000X

NPI Details
NPI 1134106065
Enumeration Date 12/30/2005
Last Updated 08/06/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM BERRY WILLIAM
Position CEO
Phone (334) 793-2663
Fax (334) 836-2247
Practice Location
1500 ROSS CLARK CIR
DOTHAN AL, 36301-4754, US
Phone (334) 793-2663
Fax (334) 836-2247
Business Location
PO BOX 729
DOTHAN AL, 36302-0729, US
Phone (334) 793-2663
Fax (334) 836-2247
Toxanomy
Taxonomy Code 207P00000X
License State
License Number
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According to our database, Sbjs Pc NPI is 1134106065, taxonomy code is 207P00000X Sbjs Pc physically located at 1500 Ross Clark Cir, Dothan AL, 36301-4754. NPI Number 1033115704 has the healthcare provider type.

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1134106065 NPI number is provided on an as is basis without warranty of any kind. 1134106065 is maintained by the National Plan & Provider Enumeration System. The contents of Sbjs Pc are for informational purposes only.