| Infusion Centers Of The Southeast Llc | |
|
1003 Haven Dr Dothan AL 36301-4016 | |
| (334) 803-7401 | |
| Not Available |
| Full Name | Infusion Centers Of The Southeast Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1003 Haven Dr, Dothan, Alabama |
| Authorized Official Name and Position | Justin Hovey (DIRECTOR) |
| Authorized Official Contact | 3344798774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Infusion Centers Of The Southeast Llc Po Box 8608 Dothan AL 36304-0608 Ph: () - | Infusion Centers Of The Southeast Llc 1003 Haven Dr Dothan AL 36301-4016 Ph: (334) 803-7401 |
| NPI Number | 1194556118 |
|---|---|
| Provider Enumeration Date | 08/12/2024 |
| Last Update Date | 05/11/2026 |
| Medicare PECOS PAC ID | 1759804172 |
|---|---|
| Medicare Enrollment ID | O20250326002798 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194556118 | NPI | - | NPPES |
| Provider Name | Fiona I Masters |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194885681 PECOS PAC ID: 2264427236 Enrollment ID: I20040419000831 |
| Provider Name | Justin Hovey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801970116 PECOS PAC ID: 8022187780 Enrollment ID: I20080521000133 |
| Provider Name | Gregory L Gibson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891015574 PECOS PAC ID: 8325202559 Enrollment ID: I20120619000391 |
| Provider Name | Christopher L Surratt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114096963 PECOS PAC ID: 6305939901 Enrollment ID: I20171108001956 |
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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 | |
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