Organization
WIREGRASS WOUND CARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY HERBERT FADIL MD (PHYSICIAN)
(251) 295-2815
Entity
Organization
Contact information
Practice address
1908 FAIRVIEW AVE, DOTHAN, AL 36301-3008
(251) 295-2815
(251) 295-2815
Mailing address
725 N HIGHWAY A1A, SUITE C112-113, JUPITER, FL 33477-4571
(561) 578-8407
(561) 578-8099
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
29664
AL
Other
Enumeration date
11/02/2013
Last updated
12/09/2013
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