Organization
DOTHAN PSYCHIATRIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GISELA S DREW (ADMINISTRATOR)
(334) 702-8425
Entity
Organization
Contact information
Practice address
256 HONEYSUCKLE RD, SUITE 2, DOTHAN, AL 36305-1157
(334) 702-8425
(334) 794-8460
Mailing address
256 HONEYSUCKLE RD, SUITE 2, DOTHAN, AL 36305-1157
(334) 702-8425
(334) 794-8460
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529907650
—
AL
Enumeration date
01/19/2006
Last updated
08/25/2008
Update your record
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