| Dermatology Associates Of Dothan, Llc | |
|
2431 W Main St Ste 501 Dothan AL 36301 | |
| (334) 793-9222 | |
| (334) 671-0322 |
| Full Name | Dermatology Associates Of Dothan, Llc |
|---|---|
| Speciality | Dermatology |
| Location | 2431 W Main St, Dothan, Alabama |
| Authorized Official Name and Position | Leonard T Pynes (OWNER) |
| Authorized Official Contact | 3347939222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermatology Associates Of Dothan, Llc 2431 W Main St Ste 501 Dothan AL 36301-1274 Ph: (334) 793-9222 | Dermatology Associates Of Dothan, Llc 2431 W Main St Ste 501 Dothan AL 36301 Ph: (334) 793-9222 |
| NPI Number | 1255466330 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 02/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255466330 | NPI | - | NPPES |
| 085296164B | Medicaid | GA | |
| DG8208 | Other | RR MEDICARE | |
| 01D2143273 | Other | AL | CLIA HUNTSVILLE |
| 01D0670555 | Other | AL | CLIA |
| 01D2111151 | Other | AL | CLIA TROY |
| 529922330 | Medicaid | AL |
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Houston County Healthcare Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1806 Fairview Ave, Dothan, AL 36301 Phone: 334-677-5986 Fax: 334-677-4901 | |
Sasser Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3144 Ross Clark Cir, Dothan, AL 36303 Phone: 334-446-4712 | |
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