# DOTHAN PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dothan Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003403569
- **Authorized official:** NIDAL YUNIS M.D. (OWNER)
- **Authorized official phone:** (334) 699-6396

## Contact information

- **Practice address:** 1891 HONEYSUCKLE RD STE 2A, DOTHAN, AL 36305-4291
- **Practice address phone:** (334) 794-6504
- **Practice address fax:** (334) 793-4452
- **Mailing address:** PO BOX 242848, MONTGOMERY, AL 36124-2848
- **Mailing address phone:** (800) 334-1757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/30/2020
- **Last updated:** 01/11/2021