Realm Incorporated

NPI #1558616029 in Dothan, Alabama

Provider Information

NPI Number
1558616029
Entity Type
Organization
Organization Name
Realm Incorporated
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Jul 19, 2012
Last Updated
Jul 19, 2012

Practice Location

Address
1435 W MAIN ST
City
Dothan
State
Alabama
ZIP Code
36301-1311
Phone
(334) 702-8872

Authorized Official

Name
DR. SAMMY BANNER, D.O.
Title
PRESIDENT
Phone
(334) 702-8872

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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