Southeastern Urology, PC

NPI #1760023634 in Dothan, Alabama

Provider Information

NPI Number: 1760023634
Entity Type: Organization
Organization Name: Southeastern Urology, PC
Primary Specialty: Urology
Enumeration Date: Oct 2, 2019
Last Updated: Oct 2, 2019

Practice Location

Address: 4300 W MAIN ST STE 102
City: Dothan
State: Alabama
ZIP Code: 36305-1306
Phone: (334) 793-9564

Authorized Official

Name: DR. DANIEL DEIGHTON, MD
Title: OWNER
Phone: (334) 793-9564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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