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Tommy Ray Rushing
Family Nurse Practitioner in Dothan, Alabama
NPI 1992223713

Tommy Ray Rushing is a Family Nurse Practitioner based in Dothan, AL and is specialized in Family. Tommy Ray Rushing practices in Dothan, AL. The NPI Number for Tommy Ray Rushing is 1992223713 and holds a License No. 1-138567 (Alabama).

The current practice location address for Tommy Ray Rushing is 4300 W Main St Ste 102, Dothan, AL and can be reached out via phone at 334-793-9564 and via fax at 334-671-8907.

Location: 4300 W Main St Ste 102, Dothan, AL, 36302-6599
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992223713
Provider Name
Tommy Ray Rushing
Credential
Provider Entity Type
Individual
Gender
Male
Address
4300 W Main St Ste 102, Dothan, AL, 36302-6599
Phone Number
334-793-9564
Fax Number
334-671-8907
Provider Enumeration Date
08/31/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1-138567 01 AL ALABAMA LICENSE
institution
Provider Business Practice Location Address Details
Address
4300 W Main St Ste 102
City
Dothan
State
Alabama
Zip
36305-1306
Phone Number
334-793-9564
Fax Number
334-671-8907
person
Provider Business Mailing Address Details
Address
4300 W Main St Ste 102
City
Dothan
State
Alabama
Zip
36305-1306
Phone Number
334-793-9564
Fax Number
334-671-8907
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1-138567 (Alabama)
Definition
Definition to come...
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