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MEDPEDS OF DOTHAN INC NPI 1427252766


NPI Information

NPI: 1427252766
Provider Name: MEDPEDS OF DOTHAN INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
318 WESTGATE PKWY STE 2
DOTHAN, AL
ZIP 36303
Phone: (334) 671-2895
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MEDPEDS OF DOTHAN INC is a family medicine in Dothan, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MEDPEDS OF DOTHAN INC NPI is 1427252766. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

318 WESTGATE PKWY STE 2
DOTHAN, AL
ZIP 36303-963
Phone: (334) 671-2895
Fax: (334) 712-9430

The provider's authorized official is Kristin Boutwell .
The authorized official title is Administration and has the following contact phone number (334) 671-2895.

The enumeration date for this NPI number is 6/12/2007 and was last updated on 7/16/2007.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080A0000XPediatricsAdolescent Medicine00024928ALABAMANo
2207Q00000XFamily Medicine00024928ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009946055MEDICAIDALABAMA
2H72415MEDICARE UPINALABAMA
3051519578MEDICARE ID-TYPE UNSPECIFIEDALABAMAMEDICARE PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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