| Toyin F Bolaji, | |
| 172 Luds Way, Dothan, AL 36303-6341 | |
| (334) 778-7090 | |
| (334) 788-7085 | 
| Full Name | Toyin F Bolaji | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Gerontology | 
| Location | 172 Luds Way, Dothan, Alabama | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699752808 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | 1-137792 (Alabama) | Primary | 
| Entity Name | Dothan Medical Associates, P.c. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1972693778 PECOS PAC ID: 7416848247 Enrollment ID: O20040322001673 | 
| Entity Name | Sha Diabetes Center Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063293603 PECOS PAC ID: 0446697759 Enrollment ID: O20240322000495 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Toyin F Bolaji, 172 Luds Way, Dothan, AL 36303-6341 Ph: (334) 778-7090 | Toyin F Bolaji, 172 Luds Way, Dothan, AL 36303-6341 Ph: (334) 778-7090 | 
| Julia Jones Holloway,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1812 E Main St, Dothan, AL 36301 Phone: 334-792-5184 Fax: 334-792-5190 | |
| Heather Young, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 480 Honeysuckle Rd, Dothan, AL 36305 Phone: 334-836-1212 | |
| Jenna Oates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 Healthwest Dr, Dothan, AL 36303 Phone: 334-792-9500 | |
| Mrs. Samantha Poole Carter, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 W Main St Ste 15, Dothan, AL 36305 Phone: 334-944-7056 Fax: 334-944-7063 | |
| Elizabeth Ann Mcfarland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 Haven Dr, Dothan, AL 36301 Phone: 334-793-3319 Fax: 334-793-2291 | |
| Amanda B Imming, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1901 Melba Drive, Dothan, AL 36301 Phone: 334-794-6611 Fax: 334-794-6614 | |
| Vickie D Sconyers, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4300 West Main St, Womens Healthcare Of Dothan Pc Ste 31, Dothan, AL 36305 Phone: 334-793-6511 Fax: 334-677-5642 |