Wiregrass Clinic LLC

NPI #1558657890 in Dothan, Alabama

Provider Information

NPI Number: 1558657890
Entity Type: Organization
Organization Name: Wiregrass Clinic LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Jun 24, 2011
Last Updated: Jan 23, 2020

Practice Location

Address: 4300 W MAIN ST
Address 2: SUITE 21
City: Dothan
State: Alabama
ZIP Code: 36305-1054
Phone: (334) 794-5000

Authorized Official

Name: JAMES P WRIGHT
Title: VP PHYSICIAN BUSINESS SERVICES
Phone: (615) 778-1502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Family Medicine	207Q00000X
Family Medicine - Geriatric Medicine — Geriatric Medicine	207QG0300X
Internal Medicine	207R00000X
Internal Medicine - Pulmonary Disease — Pulmonary Disease	207RP1001X
Pediatrics	208000000X
Psychiatry & Neurology - Neurology — Neurology	2084N0400X
Surgery	208600000X
Urology	208800000X
Thoracic Surgery (Cardiothoracic Vascular Surgery)	208G00000X
Physician Assistant	363A00000X
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Nurse Practitioner - Family — Family	363LF0000X
Neurological Surgery	207T00000X	Primary

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