Southeast Alabama Maternity Care Program

NPI #1104901438 in Dothan, Alabama

Provider Information

NPI Number
1104901438
Entity Type
Organization
Organization Name
Southeast Alabama Maternity Care Program
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Oct 26, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
545 W MAIN ST STE 3
City
Dothan
State
Alabama
ZIP Code
36301-1653
Phone
(334) 712-3784

Authorized Official

Name
MR. GARY BENNETT
Title
DIRECTOR
Phone
(334) 712-3784

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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