Individual
PAUL C MOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4300 W MAIN ST STE 403, DOTHAN, AL 36305-1314
(334) 671-2855
(334) 793-1561
Mailing address
4300 W MAIN ST STE 403, DOTHAN, AL 36305-1314
(334) 671-2855
(334) 793-1561
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DO-381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000008838
—
AL
01
—
030004735
RAILROAD MEDICARE
AL
01
—
051008838
BCBS AL
AL
Enumeration date
04/05/2006
Last updated
04/19/2017
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