Wiregrass Wellness Center, Llc

NPI 1013117167 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1013117167
Enumeration Date 07/18/2007
Last Updated 06/09/2016
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DAVID KENTON DAVID
Position CFO
Phone (334) 673-8869
Fax (334) 673-8851
Practice Location
201 REGENCY CT
DOTHAN AL, 36305-1179, US
Phone (334) 673-8869
Fax (334) 673-8851
Business Location
PO BOX 8308
DOTHAN AL, 36304-0308, US
Phone (334) 673-8869
Fax (334) 673-8851
Toxanomy
Taxonomy Code 2084P0800X
License State Alabama
License Number 26085
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According to our database, Wiregrass Wellness Center, Llc NPI is 1013117167, taxonomy code is 2084P0800X and license number is 26085, license state is located at Alabama. Wiregrass Wellness Center, Llc physically located at 201 Regency Ct, Dothan AL, 36305-1179. NPI Number 1033115704 has the healthcare provider type.

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1013117167 NPI number is provided on an as is basis without warranty of any kind. 1013117167 is maintained by the National Plan & Provider Enumeration System. The contents of Wiregrass Wellness Center, Llc are for informational purposes only.