institution
Obstetrics & Gynecology Of Dothan Inc
Obstetrics & Gynecology Nurse Practitioner in Dothan, Alabama
NPI 1114021409

Obstetrics & Gynecology Of Dothan Inc is a Obstetrics & Gynecology Nurse Practitioner based in Dothan, AL and is specialized in Obstetrics & Gynecology. Obstetrics & Gynecology Of Dothan Inc practices in Dothan, AL. The NPI Number for Obstetrics & Gynecology Of Dothan Inc is 1114021409 and holds a License No. 23245 (Alabama).

The current practice location address for Obstetrics & Gynecology Of Dothan Inc is 104 Medical Dr, Dothan, AL and can be reached out via phone at 334-671-9445 and via fax at 334-836-0059. You can also correspond with Obstetrics & Gynecology Of Dothan Inc through the mailing address at 104 MEDICAL DR, DOTHAN, AL - 36303 (mailing address contact number: 334-671-9445).

Location: 104 Medical Dr, Dothan, AL, 36303
institution
Provider Profile Details
NPI Number
1114021409
Provider Name
Obstetrics & Gynecology Of Dothan Inc
Credential
Provider Entity Type
Organization
Address
104 Medical Dr, Dothan, AL, 36303
Phone Number
334-671-9445
Fax Number
334-836-0059
Provider Enumeration Date
09/08/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01D2068157 01 CLIA WAVIER
01D0989955 01 CLIA WAIVED
1826 01 MEDICARE GROUP NUMBER
C47766 01 MEDICAL PROTECTIVE
529928670 01 MEDICAID GROUP
01D2043043 01 AL CLIA WAIVED
051502953 05 AL
01D2052896 01 AL CLIA WAIVED
01D2074304 01 CLIA WAIVED
051520983 05 AL
institution
Provider Business Practice Location Address Details
Address
104 Medical Dr
City
State
Zip
36303
Phone Number
334-671-9445
Fax Number
334-836-0059
person
Provider Business Mailing Address Details
Address
104 Medical Dr
City
State
Zip
36303
Phone Number
334-671-9445
Fax Number
334-836-0059
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
License No.
DO1161 (Alabama)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
License No.
26014 (Alabama)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
License No.
23245 (Alabama)
Definition
Definition to come...
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