NPI 1861471096
Fady S Wanna, MD
Practice location
- Address
- 4300 W Main St STE 21, Dothan, AL 36305-1058
- Phone
- (205) 620-7523
- Fax
- (205) 620-8667
- Mailing address
- PO Box 6599, Dothan, AL 36302-6599
Registered specialties (3)
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Registry record
- NPI
- 1861471096
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Jan 2006
- Record last updated
- 29 Aug 2024
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.