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Dothan Internal Medicine, Llc
Specialist in Dothan, Alabama
NPI 1962890178

Dothan Internal Medicine, Llc is a Specialist based in Dothan, AL. Dothan Internal Medicine, Llc practices in Dothan, AL. The NPI Number for Dothan Internal Medicine, Llc is 1962890178 and holds a License No. 20759 (Alabama).

The current practice location address for Dothan Internal Medicine, Llc is 1118 Ross Clark Cir, Dothan, AL and can be reached out via phone at 334-699-2004 and via fax at 334-699-2006.

Location: 1118 Ross Clark Cir, Dothan, AL, 36301-3001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962890178
Provider Name
Dothan Internal Medicine, Llc
Credential
Provider Entity Type
Organization
Address
1118 Ross Clark Cir, Dothan, AL, 36301-3001
Phone Number
334-699-2004
Fax Number
334-699-2006
Provider Enumeration Date
12/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1003831983 01 AL NPI INDIVIDUAL
institution
Provider Business Practice Location Address Details
Address
1118 Ross Clark Cir
City
Dothan
State
Alabama
Zip
36301-3001
Phone Number
334-699-2004
Fax Number
334-699-2006
person
Provider Business Mailing Address Details
Address
1118 Ross Clark Cir
City
Dothan
State
Alabama
Zip
36301-3001
Phone Number
334-699-2004
Fax Number
334-699-2006
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
20759 (Alabama)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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