NPI 1053410480

Southern Clinic PC

Organisation Internal Medicine Physician Dothan, AL

Practice location

Address: 1901 Melba Dr, Dothan, AL 36301-3017
Phone: (334) 794-6611
Fax: (334) 794-6614

Authorised official

Name: Brian Holman
Title: Office Administrator
Phone: (334) 794-6611

Registered specialties (2)

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X

Other Internal Medicine providers in Alabama →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Alabama →

Registry record

NPI: 1053410480
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 1 Feb 2008

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.