Organization
OBSTETRICS & GYNECOLOGY OF DOTHAN INC
Active
Other names
Ladies First
Organization subpart
No
Provider details
NPI number
Authorized official
DANA GAYLORD (ADMINISTRATIVE ASSISTANT)
(334) 671-9445
Entity
Organization
Contact information
Practice address
104 MEDICAL DR, DOTHAN, AL 36303
(334) 671-9445
(334) 836-0059
Mailing address
104 MEDICAL DR, DOTHAN, AL 36303
(334) 671-9445
(334) 836-0059
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
23245
AL
207V00000X
Obstetrics & Gynecology Physician
Primary
26014
AL
207V00000X
Obstetrics & Gynecology Physician
31756
AL
207V00000X
Obstetrics & Gynecology Physician
31759
AL
207V00000X
Obstetrics & Gynecology Physician
32437
AL
207V00000X
Obstetrics & Gynecology Physician
DO1161
AL
207V00000X
Obstetrics & Gynecology Physician
—
AL
363A00000X
Physician Assistant
PA-204
AL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1006758
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01D0989955
CLIA WAIVED
—
01
—
01D2043043
CLIA WAIVED
AL
01
—
01D2052896
CLIA WAIVED
AL
01
—
01D2068157
CLIA WAVIER
—
01
—
01D2074304
CLIA WAIVED
—
05
—
051502953
—
AL
05
—
051520983
—
AL
01
—
1826
MEDICARE GROUP NUMBER
—
01
—
529928670
MEDICAID GROUP
—
01
—
C47766
MEDICAL PROTECTIVE
—
Enumeration date
09/08/2006
Last updated
12/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us