WIREGRASS CLINIC LLC NPI 1427728393

NPI Information

  • NPI: 1427728393
  • Provider Name: WIREGRASS CLINIC LLC
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Organization
  • Address: 348 HEALTHWEST DR
    DOTHAN, AL
    ZIP 36303
  • Phone: (334) 944-7006

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NPI Details

WIREGRASS CLINIC LLC is a neurology psychiatry neurology in Dothan, AL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. WIREGRASS CLINIC LLC NPI is 1427728393. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

348 HEALTHWEST DR
DOTHAN, AL
ZIP 36303-907
Phone: (334) 944-7006
Fax: (334) 305-0076

The provider's authorized official is Jennifer L Jackson .
The authorized official title is Sr Dir Prov Enrollment & Onboarding and has the following contact phone number (615) 465-3334.

The enumeration date for this NPI number is 9/14/2021 and was last updated on 9/14/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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