Dothan Internal Medicine, Llc

LBN: Dothan Internal Medicine, Llc
Dothan Internal Medicine, Llc is an health care organization with primary practice located at 1118 Ross Clark Cir Suite 105, Dothan AL 36301-3001. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dothan Internal Medicine, Llc can be contacted via phone (334) 699-2004, or through Beuachamp, Rodney K via phone (334) 699-2004.

Contact Information

Primary practice address
1118 Ross Clark Cir Suite 105 Dothan AL 36301-3001
Phone: (334) 699-2004
Fax: (334) 699-2006
Website:
Map and Directions
Authorized official contact:
Name: Beuachamp, Rodney K Doctor of Medicine (MD)
Phone: (334) 699-2004

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20759 Alabama

Profile Details

NPI number 1962890178
LBN Legal business name Dothan Internal Medicine, Llc
DBA Doing business as
Authorized official Beuachamp, Rodney K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 23rd, 2014
Last updated Dec 23rd, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962890178 NPPES
Alabama Other 1003831983 NPI INDIVIDUAL

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