WIREGRASS CLINIC LLC NPI 1851063432

NPI Information

  • NPI: 1851063432
  • Provider Name: WIREGRASS CLINIC LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4300 W MAIN ST STE 405
    DOTHAN, AL
    ZIP 36305
  • Phone: (334) 944-7073

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NPI Details

WIREGRASS CLINIC LLC 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. WIREGRASS CLINIC LLC NPI is 1851063432. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4300 W MAIN ST STE 405
DOTHAN, AL
ZIP 36305-086
Phone: (334) 944-7073
Fax: (334) 944-7058

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 10/1/2021 and was last updated on 10/1/2021.

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
1207Q00000XFamily MedicineYes

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: 11/21/2025

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