Southern Clinic PC

NPI #1053410480 in Dothan, Alabama

Provider Information

NPI Number: 1053410480
Entity Type: Organization
Organization Name: Southern Clinic PC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 22, 2006
Last Updated: Feb 1, 2008

Practice Location

Address: 1901 MELBA DR
City: Dothan
State: Alabama
ZIP Code: 36301-3017
Phone: (334) 794-6611

Authorized Official

Name: MR. BRIAN HOLMAN
Title: OFFICE ADMINISTRATOR
Phone: (334) 794-6611

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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