01D0691434 CLIA NUMBER - Hearts South Pc

Laboratory Demographics

CLIA Number: 01D0691434

Facility Name: Hearts South Pc

Facility Address:
1118 Ross Clark Circle Suite 4
Dothan, AL
ZIP 36301
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Facility Phone Number: (334) 793-5672

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1790987238

Taxonomy: 207RC0000X - Internal Medicine
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

CLIA Record

Field Name Field Value
CLIA Number 01D0691434
LAB Type PHYSICIAN OFFICE
Facility Name Hearts South Pc
Street 1118 Ross Clark Circle Suite 4
City Dothan
State AL
ZIP 36301
Phone (334) 793-5672

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This page was last updated on: 4/7/2021