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: 5/11/2023