01D0691434 CLIA NUMBER - HEARTS SOUTH PC

Laboratory Demographics

CLIA Number: 01D0691434

Facility Name: HEARTS SOUTH PC

Facility Address:
1118 ROSS CLARK CIRCLE SUITE 403
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 403
City DOTHAN
State AL
ZIP 36301
Phone (334) 793-5672

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This page was last updated on: 3/23/2022