Dothan Urology, PC

NPI #1215917745 in Dothan, Alabama

Provider Information

NPI Number: 1215917745
Entity Type: Organization
Organization Name: Dothan Urology, PC
Primary Specialty: Urology
Enumeration Date: Jan 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4300 W MAIN ST
Address 2: SUITE 102
City: Dothan
State: Alabama
ZIP Code: 36305-1054
Phone: (334) 793-9564

Authorized Official

Name: MRS. LOIS W SALLAS
Title: INSURANCE SUPERVISOR
Phone: (334) 793-9564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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