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WIREGRASS CLINIC LLC NPI 1558657890


NPI Information

NPI: 1558657890
Provider Name: WIREGRASS CLINIC LLC
Classification: Neurological Surgery - 207T00000X
Entity Type: Organization
Address:
4300 W MAIN ST
SUITE 21
DOTHAN, AL
ZIP 36305
Phone: (334) 794-5000
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WIREGRASS CLINIC LLC is a neurological surgery in Dothan, AL. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. WIREGRASS CLINIC LLC NPI is 1558657890. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4300 W MAIN ST
SUITE 21
DOTHAN, AL
ZIP 36305-054
Phone: (334) 794-5000

The provider's authorized official is James P Wright .
The authorized official title is Vp Physician Business Services and has the following contact phone number (615) 778-1502.

The enumeration date for this NPI number is 6/24/2011 and was last updated on 1/23/2020.


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
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3207Q00000XFamily MedicineNo
4207QG0300XFamily MedicineGeriatric MedicineNo
5207R00000XInternal MedicineNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207T00000XNeurological SurgeryYes
8208000000XPediatricsNo
92084N0400XPsychiatry & NeurologyNeurologyNo
10208600000XSurgeryNo
11208800000XUrologyNo
12208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
13363A00000XPhysician AssistantNo
14363LA2200XNurse PractitionerAdult HealthNo
15363LF0000XNurse PractitionerFamilyNo

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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