| Nola Jean Ernest, MD, PHD | |
| 526 Boll Weevil Cir, Enterprise Pediatric Clinic, Enterprise, AL 36330-4012 | |
| (334) 308-1166 | |
| (334) 308-1019 | 
| Full Name | Nola Jean Ernest | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 526 Boll Weevil Cir, Enterprise, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134362817 | NPI | - | NPPES | 
| 184547 | Medicaid | AL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 31586 (Alabama) | Primary | 
| Entity Name | Dothan Pediatric Clinic, P. A. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376508788 PECOS PAC ID: 0749245330 Enrollment ID: O20041123000377 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nola Jean Ernest, MD, PHD 126 Clinic Dr, Dothan Pediatric Clinic, Dothan, AL 36303-1980 Ph: (334) 793-1881 | Nola Jean Ernest, MD, PHD 526 Boll Weevil Cir, Enterprise Pediatric Clinic, Enterprise, AL 36330-4012 Ph: (334) 308-1166 | 
| Dr. Rodd Daniel Whitaker, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 101 Professional Lane, Enterprise, AL 36330 Phone: 334-347-3404 Fax: 334-393-0613 | |
| Norma P Samuy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
| Dr. Alexander Mark Eisen, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 105 E Watts St, Enterprise, AL 36330 Phone: 334-393-5437 Fax: 334-393-4185 | |
| Dr. William A Gammill, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 101 E Brunson St, Suite 200, Enterprise, AL 36330 Phone: 334-393-3686 Fax: 334-347-4906 | |
| Dr. Maria Aurora Canlas Sucgang, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 101 Professional Ln, Enterprise, AL 36330 Phone: 334-347-3404 Fax: 334-393-0613 | |
| Mrs. Jamie T. Hixon-griffin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 526 Boll Weevil Cir, Enterprise, AL 36330 Phone: 334-308-1166 Fax: 334-308-1019 |