WOMEN'S HEALTHCARE OF DOTHAN PC NPI 1396305579

NPI Information

WOMEN'S HEALTHCARE OF DOTHAN, PC is an obstetrics and gynecology nurse practitioner in Dothan, AL. WOMEN'S HEALTHCARE OF DOTHAN, PC NPI is 1396305579. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4300 W MAIN ST STE 31
DOTHAN, AL
ZIP 36305-315
Phone: (334) 793-6511
Fax: (334) 702-6178

The provider's authorized official is Christopher E Nicholls .
The authorized official title is Medical Doctor and has the following contact phone number (334) 793-6511.

The CLIA number assigned to this NPI record is 01D0304811 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/19/2019 and was last updated on 6/19/2019.

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:

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