# TRIAD OF ALABAMA LLC

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

## Provider details

- **NPI number:** 1225082951
- **Authorized official:** REBECCA HURLEY (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (214) 473-3993

## Contact information

- **Practice address:** 4300 W MAIN ST, SUITE 2, DOTHAN, AL 36305-1054
- **Practice address phone:** (334) 794-5000
- **Mailing address:** PO BOX 1964, DOTHAN, AL 36302-1964
- **Mailing address phone:** (334) 794-5000

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/22/2020