Wiregrass Family Practice Of Dothan Pc

LBN: Wiregrass Family Practice Of Dothan Pc
Wiregrass Family Practice Of Dothan Pc is an health care organization with primary practice located at 1836 W Main St , Dothan AL 36301-1320. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Wiregrass Family Practice Of Dothan Pc can be contacted via phone (334) 699-8585, or through Hackett, Mims via phone (334) 699-8585.

Contact Information

Primary practice address
1836 W Main St Dothan AL 36301-1320
Phone: (334) 699-8585
Fax: (334) 699-8587
Website:
Map and Directions
Authorized official contact:
Name: Hackett, Mims ADMINISTRATOR
Phone: (334) 699-8585

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1235238635
LBN Legal business name Wiregrass Family Practice Of Dothan Pc
DBA Doing business as
Authorized official Hackett, Mims ADMINISTRATOR
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Mar 24th, 2008 - about 17 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 1235238635 NPPES
Alabama Other 51530696 BCBS

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