Organization
L. TERRY PYNES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD T PYNES MD (OWNER)
(334) 793-9222
Entity
Organization
Contact information
Practice address
2431 W MAIN ST, STE 501, DOTHAN, AL 36301-1217
(334) 793-9222
(334) 671-0322
Mailing address
2431 W MAIN ST, STE 501, DOTHAN, AL 36301-1217
(334) 793-9222
(334) 671-0322
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00008834
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529922330
—
AL
Enumeration date
04/22/2008
Last updated
04/22/2008
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