| Round Two Medical Solutions Llc | |
|
105 S Woodburn Dr Ste 2 Dothan AL 36305-1109 | |
| (334) 790-9872 | |
| Not Available |
| Full Name | Round Two Medical Solutions Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 105 S Woodburn Dr Ste 2, Dothan, Alabama |
| Authorized Official Name and Position | Philip Wilson (OWNER) |
| Authorized Official Contact | 3347909872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Round Two Medical Solutions Llc 107 Christen Ln Dothan AL 36305-3140 Ph: (334) 791-2406 | Round Two Medical Solutions Llc 105 S Woodburn Dr Ste 2 Dothan AL 36305-1109 Ph: (334) 790-9872 |
| NPI Number | 1881437762 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 01/28/2025 |
| Medicare PECOS PAC ID | 3870032725 |
|---|---|
| Medicare Enrollment ID | O20240823001346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881437762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Philip T Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811256084 PECOS PAC ID: 5294972386 Enrollment ID: I20130509000066 |
| Provider Name | Marcey Nicholas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972209153 PECOS PAC ID: 5092162651 Enrollment ID: I20231103002631 |
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