Southern Clinic Pc
LBN: Southern Clinic Pc
Southern Clinic Pc is an health care organization with primary practice located at 1901 Melba Dr , Dothan AL 36301-3017. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Southern Clinic Pc can be contacted via phone (334) 794-6611, or through Holman, Brian via phone (334) 794-6611.
Contact Information
Primary practice address
1901 Melba Dr
Dothan AL 36301-3017
Phone: (334) 794-6611
Fax: (334) 794-6614
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
| NPI number | 1053410480 |
|---|---|
| LBN Legal business name | Southern Clinic Pc |
| DBA Doing business as | |
| Authorized official | Holman, Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Feb 1st, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053410480 | NPPES |
| Alabama | Other | Q684 | BC/BS OF ALABAMA |
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