Obstetrics & Gynecology Of Dothan Inc in Dothan - Obstetrics & Gynecology
Obstetrics & Gynecology Of Dothan Inc - NPI 1114021409
Obstetrics & Gynecology Of Dothan Inc is a Obstetrics & Gynecology in Dothan, Alabama. Obstetrics & Gynecology Of Dothan Inc practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Obstetrics & Gynecology Of Dothan Inc is 1114021409. The last update date is 2015-12-04.
Obstetrics & Gynecology Of Dothan Inc's current location address is 104 Medical Dr, Dothan, Alabama. You can contact this provider via phone number 3346719445 and fax number 3348360059. The mailing address for Obstetrics & Gynecology Of Dothan Inc is 104 Medical Dr, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Obstetrics & Gynecology Of Dothan Inc |
|---|---|
| Address | 104 Medical Dr, Dothan, Alabama |
| Phone Number | 3346719445 |
| Fax Number | 3348360059 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Gaylord Dana |
| Telephone Number | 3346719445 |
NPI Number Detail
| NPI Number | 1114021409 |
|---|---|
| Provider Enumeration Date | 2006-09-08 |
| Last Updated Date | 2015-12-04 |
Provider Mailing Address Detail
| Address | 104 Medical Dr |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 36303 |
| Phone Number | 3346719445 |
| Fax Number | 3348360059 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 363Lx0001X |
| Licence No | 1006758 |
|
Definition: An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01D2068157 | CLIA WAVIER | ||
| 01D0989955 | CLIA WAIVED | ||
| 1826 | MEDICARE GROUP NUMBER | ||
| C47766 | MEDICAL PROTECTIVE | ||
| 529928670 | MEDICAID GROUP | ||
| 01D2043043 | AL | CLIA WAIVED | |
| 51502953 | AL | -- | |
| 01D2052896 | AL | CLIA WAIVED | |
| 01D2074304 | CLIA WAIVED | ||
| 51520983 | AL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Obstetrics & Gynecology Of Dothan Inc by the Centers for Medicare & Medicaid Services?
The Obstetrics & Gynecology Of Dothan Inc has been issued the NPI (National Provider Identifier) 1114021409, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Obstetrics & Gynecology Of Dothan Inc's physical address?
The Obstetrics & Gynecology Of Dothan Inc is physically located at 104 Medical Dr, in the city of Dothan, AL, with the postal code 36303.
What is Obstetrics & Gynecology Of Dothan Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Obstetrics & Gynecology Of Dothan Inc's area of specialization is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this field of practice is 363Lx0001X.
On what date did the Obstetrics & Gynecology Of Dothan Inc receive the assignment of its 1114021409 from the Centers for Medicare & Medicaid Services?
The Obstetrics & Gynecology Of Dothan Inc was issued its 1114021409 by the Centers for Medicare & Medicaid Services on 2006-09-08.
As of what date was the information regarding Obstetrics & Gynecology Of Dothan Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Obstetrics & Gynecology Of Dothan Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-12-04.