Organization
DOTHAN HYPERTENSION NEPHROLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GANJUR PRAKASH M.D. (OWNER)
(334) 793-3319
Entity
Organization
Contact information
Practice address
207 HAVEN DR, DOTHAN, AL 36301-2919
(334) 793-3319
(334) 793-2291
Mailing address
207 HAVEN DRIVE, DOTHAN, AL 36301
(334) 793-3319
(334) 793-2291
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/26/2006
Last updated
03/08/2011
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