Provider Type Icon

SOUTHEAST ALABAMA FOOT CLINIC P.C. NPI 1811070410


NPI Information

NPI: 1811070410
Provider Name: SOUTHEAST ALABAMA FOOT CLINIC, P.C.
Classification: Podiatrist - 213E00000X
Entity Type: Organization

CLIA Number: 01D0641723

Address:
1550 E MAIN ST
DOTHAN, AL
ZIP 36301
Phone: (334) 792-3922
Get Directions

SOUTHEAST ALABAMA FOOT CLINIC, P.C. is a podiatrist in Dothan, AL. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. SOUTHEAST ALABAMA FOOT CLINIC, P.C. NPI is 1811070410. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1550 E MAIN ST
DOTHAN, AL
ZIP 36301-012
Phone: (334) 792-3922
Fax: (334) 712-0405

The provider's authorized official is David Russell Wuertzer .
The authorized official title is President and has the following contact phone number (334) 792-3922.

The CLIA number assigned to this NPI record is 01D0641723 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/24/2006 and was last updated on 8/22/2020.


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
1213E00000XPodiatristYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.