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RADIOLOGY ASSOCIATES OF DOTHAN PC NPI 1083697718


NPI Information

NPI: 1083697718
Provider Name: RADIOLOGY ASSOCIATES OF DOTHAN PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1900 FAIRVIEW AVE
DOTHAN, AL
ZIP 36301
Phone: (334) 793-9511
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RADIOLOGY ASSOCIATES OF DOTHAN PC is a diagnostic radiology radiology in Dothan, AL. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RADIOLOGY ASSOCIATES OF DOTHAN PC NPI is 1083697718. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1900 FAIRVIEW AVE
DOTHAN, AL
ZIP 36301-008
Phone: (334) 793-9511
Fax: (334) 794-0721

The provider's authorized official is William W Beckett .
The authorized official title is President and has the following contact phone number (334) 793-9511.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 1/15/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyNo
22085R0204XRadiologyVascular & Interventional RadiologyNo
32085R0202XRadiologyDiagnostic RadiologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1300040735AMEDICAIDGEORGIA
2=========OTHERALABAMAEIN
3C028MEDICARE PINALABAMA
4274277202MEDICAIDALABAMA
5000060028MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.