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DOTHAN PEDIATRIC CLINIC P. A. NPI 1447823877


NPI Information

NPI: 1447823877
Provider Name: DOTHAN PEDIATRIC CLINIC, P. A.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 01D0304757

Address:
526 BOLL WEEVIL CIR
ENTERPRISE, AL
ZIP 36330
Phone: (334) 308-1166
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DOTHAN PEDIATRIC CLINIC, P. A. is a pediatrics in Enterprise, AL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DOTHAN PEDIATRIC CLINIC, P. A. NPI is 1447823877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

526 BOLL WEEVIL CIR
ENTERPRISE, AL
ZIP 36330-012
Phone: (334) 308-1166

The provider's authorized official is Gina Tolar .
The authorized official title is Insurance & Collections Supervisor and has the following contact phone number (334) 793-1881.

The CLIA number assigned to this NPI record is 01D0304757 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/22/2021 and was last updated on 7/22/2021.


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
1208000000XPediatricsYes
2363LF0000XNurse PractitionerFamilyNo
3363LP0200XNurse PractitionerPediatricsNo

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.