Wiregrass Family Practice of Dothan PC

NPI #1235238635 in Dothan, Alabama

Provider Information

NPI Number
1235238635
Entity Type
Organization
Organization Name
Wiregrass Family Practice of Dothan PC
Primary Specialty
Family Medicine
Enumeration Date
Sep 22, 2006
Last Updated
Mar 24, 2008

Practice Location

Address
1836 W MAIN ST
City
Dothan
State
Alabama
ZIP Code
36301-1320
Phone
(334) 699-8585

Authorized Official

Name
MR. MIMS HACKETT, ADMINISTRATOR
Title
ADMINISTRATOR
Phone
(334) 699-8585

Specialties & Taxonomy Codes

Specialty
Family Medicine

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