Organization
WIREGRASS WOUND CARE CONSULTANTS LLC
Active
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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