| 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 | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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 |
| Medicare PECOS PAC ID | 7911081641 |
|---|---|
| Medicare Enrollment ID | O20080220000023 |
| 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 |
| Provider Name | Leonard Terry Pynes |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1144228388 PECOS PAC ID: 3971551201 Enrollment ID: I20050104000521 |
| Provider Name | Nichole Johnson Prestwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225522709 PECOS PAC ID: 3274883178 Enrollment ID: I20180913001021 |
| Provider Name | Susanna Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881197499 PECOS PAC ID: 0244582666 Enrollment ID: I20181013000118 |
| Provider Name | Emily Claire Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457824781 PECOS PAC ID: 8123357639 Enrollment ID: I20190909003309 |
Wiregrass Wound Care Consultants Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1908 Fairview Ave, Dothan, AL 36301 Phone: 251-295-2815 Fax: 251-295-2815 | |
Dothan Primary Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1891 Honeysuckle Rd Ste 2a, Dothan, AL 36305 Phone: 334-794-6504 Fax: 334-793-4452 | |
Primeteam, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4126 West Main Street, Dothan, AL 36305 Phone: 334-793-2120 Fax: 334-671-2930 | |
Precision Wound Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 212 W Troy St Ste B, Dothan, AL 36303 Phone: 334-539-8418 | |
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 | |
Carnes Chiropractic And Wellness Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2323 W Main St Ste 109, Dothan, AL 36301 Phone: 334-794-2225 |