Whalio Doctors

NPI 1124007091

Matthew T Jennings, DO

Practitioner Anesthesiology Physician Dothan, AL

Practice location

Address
1118 Ross Clark Cir, Dothan, AL 36301-3001
Phone
(334) 793-5105
Mailing address
1118 Ross Clark Cir Suite 700 Anesthesia Consultants Medical Group PC, Dothan, AL 36301-3001

Registered specialties (2)

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence D0768 (AL)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence D0768 (AL)

Registry record

NPI
1124007091
Entity type
Individual
Sex (as registered)
Male
NPI issued
10 Jan 2006
Record last updated
25 Apr 2011

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.