# WIREGRASS SURGICAL ASSOCIATES, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750387833
- **Authorized official:** DR. STEVEN M. FENDLEY M.D. (PRESIDENT)
- **Authorized official phone:** (334) 793-1534

## Contact information

- **Practice address:** 1118 ROSS CLARK CIR, STE 310, DOTHAN, AL 36301-3002
- **Practice address phone:** (334) 793-1534
- **Practice address fax:** (334) 793-6991
- **Mailing address:** 1118 ROSS CLARK CIR, STE 310, DOTHAN, AL 36301-3002
- **Mailing address phone:** (334) 793-1534
- **Mailing address fax:** (334) 793-6991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 0074230 | AL | — |
| 2086S0129X | Vascular Surgery Physician | 0074230 | AL | Yes |

## Other

- **Enumeration date:** 06/23/2005
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000003047248 | PHCS GROUP ID \# | AL |