Individual
GUY MALCOLM MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 402, DOTHAN, AL 36301-3001
(334) 673-3633
(334) 836-2893
Mailing address
1118 ROSS CLARK CIR, SUITE 402, DOTHAN, AL 36301-3001
(334) 673-3633
(334) 836-2893
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25364
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16691
BLUE CROSS BLUE SHIELD
FL
01
—
515-16936
BLUE CROSS BLUE SHIELD
AL
01
—
74-10781
UNITED HEALTHCARE
AL
Enumeration date
09/21/2006
Last updated
02/04/2008
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