Organization
RADIOLOGY ASSOCIATES OF DOTHAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W BECKETT JR. MD (PRESIDENT)
(334) 793-9511
Entity
Organization
Contact information
Practice address
1900 FAIRVIEW AVE, DOTHAN, AL 36301-3008
(334) 793-9511
(334) 794-0721
Mailing address
2015 ALEXANDER DR, DOTHAN, AL 36301-3003
(334) 671-1696
(334) 794-0721
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000060028
—
AL
05
—
274277202
—
AL
05
—
300040735A
—
GA
Enumeration date
11/28/2005
Last updated
01/15/2010
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