NPI 1003245838

Wiregrass Wound Care Consultants LLC

Organisation Internal Medicine Physician Dothan, AL

Practice location

Address: 1908 Fairview Ave, Dothan, AL 36301-3008
Phone: (251) 295-2815
Fax: (251) 295-2815
Mailing address: 725 N Highway A1a Suite C112-113, Jupiter, FL 33477-4571

Authorised official

Name: Jeffrey Herbert Fadil
Title: Physician
Phone: (251) 295-2815

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 29664 (AL)

Other Internal Medicine providers in Alabama →

Registry record

NPI: 1003245838
Entity type: Organization
NPI issued: 2 Nov 2013
Record last updated: 9 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.