Wiregrass Wound Care Consultants LLC

NPI #1003245838 in Dothan, Alabama

Provider Information

NPI Number: 1003245838
Entity Type: Organization
Organization Name: Wiregrass Wound Care Consultants LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 2, 2013
Last Updated: Dec 9, 2013

Practice Location

Address: 1908 FAIRVIEW AVE
City: Dothan
State: Alabama
ZIP Code: 36301-3008
Phone: (251) 295-2815

Authorized Official

Name: DR. JEFFREY HERBERT FADIL, MD
Title: PHYSICIAN
Phone: (251) 295-2815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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