Wiregrass Clinic LLC
NPI #1497427199 in Dothan, Alabama
Provider Information
- NPI Number
- 1497427199
- Entity Type
- Organization
- Organization Name
- Wiregrass Clinic LLC
- Primary Specialty
- Surgery
- Enumeration Date
- Sep 30, 2021
- Last Updated
- Oct 8, 2021
Practice Location
Authorized Official
- Name
- JENNIFER L JACKSON
- Title
- SR DIR PROV ENROLLMENT & ONBOARDING
- Phone
- (615) 465-3334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Surgery |
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