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WIREGRASS RADIATION ONCOLOGY PC NPI 1871620484


NPI Information

NPI: 1871620484
Provider Name: WIREGRASS RADIATION ONCOLOGY PC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1108 ROSS CLARK CIR
RADIATION ONCOLOGY
DOTHAN, AL
ZIP 36301
Phone: (334) 793-8081
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WIREGRASS RADIATION ONCOLOGY PC is a radiation oncology radiology in Dothan, AL. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. WIREGRASS RADIATION ONCOLOGY PC NPI is 1871620484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1108 ROSS CLARK CIR
RADIATION ONCOLOGY
DOTHAN, AL
ZIP 36301-022
Phone: (334) 793-8081
Fax: (334) 793-1448

The provider's authorized official is Jarrod B Adkison .
The authorized official title is Owner and has the following contact phone number (334) 699-8111.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 11/26/2018.


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
12085R0001XRadiologyRadiation OncologyYes

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
1DC5678OTHERRAILROAD MEDICARE
2511-98066OTHERALABAMABCBS DOTHAN
3529917150MEDICAIDALABAMA

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.