Organization
DOTHAN SURGERY CENTER, LLC
Active
Other names
Dothan Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE DAVIS HARRINGTON RN (ADMINISTRATOR)
(334) 793-3442
Entity
Organization
Contact information
Practice address
1450 ROSS CLARK CIR, SUITE 4, DOTHAN, AL 36301-4736
(334) 793-3442
(334) 793-3318
Mailing address
1450 ROSS CLARK CIR, SUITE 4, DOTHAN, AL 36301-4736
(334) 793-3442
(334) 793-3318
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10431
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ASC0066C
—
AL
Enumeration date
07/19/2005
Last updated
07/27/2007
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