Wiregrass Surgical Associates, P.C.

LBN: Wiregrass Surgical Associates, P.C.
Wiregrass Surgical Associates, P.C. is an health care organization with primary practice located at 1118 Ross Clark Cir Ste 310, Dothan AL 36301-3002. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Wiregrass Surgical Associates, P.C. can be contacted via phone (334) 793-1534, or through Fendley, Steven M. via phone (334) 793-1534.

Contact Information

Primary practice address
1118 Ross Clark Cir Ste 310 Dothan AL 36301-3002
Fax: (334) 793-6991
Website:
Authorized official contact:
Name: Fendley, Steven M. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0074230 Alabama
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 0074230 Alabama

Profile Details

NPI number 1750387833
LBN Legal business name Wiregrass Surgical Associates, P.C.
DBA Doing business as
Authorized official Fendley, Steven M. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2005
Last updated Aug 22nd, 2020 - about 4 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 1750387833 NPPES
Alabama Other 000003047248 PHCS GROUP ID #

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