NPI 1003247842

Southern Cardiovascular Care, PC

Organisation Specialist Dothan, AL

Practice location

Address: 1800 Fairview Ave STE 1, Dothan, AL 36301-3059
Phone: (334) 699-8900
Fax: (334) 699-7498

Authorised official

Name: Srinivasa R Chennareddy
Title: Physician
Phone: (334) 699-8900

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 29602 (AL)

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Registry record

NPI: 1003247842
Entity type: Organization
NPI issued: 4 Dec 2013
Record last updated: 4 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.