01D0689512 CLIA NUMBER - SOUTHERN CLINIC PC

Laboratory Demographics

CLIA Number: 01D0689512

Facility Name: SOUTHERN CLINIC PC

Facility Address:
201 DOCTORS DR
DOTHAN, AL
ZIP 36301
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Facility Phone Number: 334 794-6611

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1053410480

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 01D0689512
LAB Type Physician Office
Facility Name SOUTHERN CLINIC PC
Street 201 DOCTORS DR
City DOTHAN
State AL
ZIP 36301
Phone 334 794-6611
CertificateType 1
CertificateEffectiveDate 5/4/2023
CertificateExpirationDate 5/3/2025
FacilityType Accreditation

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This page was last updated on: 4/23/2024