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Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
Southeast Cardiovascular
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
ROBERT DEREK MILLER (CFO)
(334) 793-8111
Entity
Organization
Contact information
Practice address
1812 E MAIN ST, DOTHAN, AL 36301-3000
(334) 794-2825
(334) 793-5050
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
(334) 793-8087
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153687
—
AL
Enumeration date
04/04/2016
Last updated
04/04/2016
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