NPI 1235238635

Wiregrass Family Practice of Dothan PC

Organisation Family Medicine Physician Dothan, AL

Practice location

Address: 1836 W Main St, Dothan, AL 36301-1320
Phone: (334) 699-8585
Fax: (334) 699-8587

Authorised official

Name: Mims Hackett
Title: Administrator
Phone: (334) 699-8585

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Alabama →

Registry record

NPI: 1235238635
Entity type: Organization
NPI issued: 22 Sep 2006
Record last updated: 24 Mar 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.