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Organization
DOTHAN PEDIATRIC CLINIC, P. A.
Active
Organization
DOTHAN PEDIATRIC CLINIC, P. A.
Active
Other names
Dothan Pediatric Subspecialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GINA TOLAR (INSURANCE & COLLECTION SUPERVISOR)
(334) 793-1881
Entity
Organization
Contact information
Practice address
5565 MONTGOMERY HWY, DOTHAN, AL 36303-1552
(334) 699-3733
Mailing address
126 CLINIC DR, DOTHAN, AL 36303-1980
(334) 793-1881
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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