Wiregrass Clinic Llc

NPI 1558657890 - Family Medicine - 207Q00000X

NPI Details
NPI 1558657890
Enumeration Date 06/24/2011
Last Updated 06/24/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name DEBBIE DEBBIE
Position DIRECTOR
Phone (334) 794-5000
Fax
Practice Location
4300 W MAIN ST
SUITE 21
DOTHAN AL, 36305-1054, US
Phone (334) 794-5000
Fax
Business Location
PO BOX 689022
FRANKLIN TN, 37068-9022, US
Phone (615) 465-7000
Fax (615) 465-3007
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Wiregrass Clinic Llc NPI is 1558657890, taxonomy code is 207Q00000X Wiregrass Clinic Llc physically located at 4300 W Main St, Dothan AL, 36305-1054. NPI Number 1033115704 has the healthcare provider type.

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1558657890 NPI number is provided on an as is basis without warranty of any kind. 1558657890 is maintained by the National Plan & Provider Enumeration System. The contents of Wiregrass Clinic Llc are for informational purposes only.