| Rosestone Infectious Disease Care Llc | |
|
1108 Ross Clark Cir Dothan AL 36301-3022 | |
| (609) 218-7879 | |
| Not Available |
| Full Name | Rosestone Infectious Disease Care Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1108 Ross Clark Cir, Dothan, Alabama |
| Authorized Official Name and Position | Tapuwa Matondo (OWNER) |
| Authorized Official Contact | 6092187879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosestone Infectious Disease Care Llc 2932 Ross Clark Cir Dothan AL 36301-1160 Ph: (609) 218-7879 | Rosestone Infectious Disease Care Llc 1108 Ross Clark Cir Dothan AL 36301-3022 Ph: (609) 218-7879 |
| NPI Number | 1154111672 |
|---|---|
| Provider Enumeration Date | 05/08/2025 |
| Last Update Date | 05/08/2025 |
| Medicare PECOS PAC ID | 4284152174 |
|---|---|
| Medicare Enrollment ID | O20250514002897 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154111672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Tapuwa Matondo |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780073742 PECOS PAC ID: 6204129422 Enrollment ID: I20250514003039 |
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