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Individual

LEONARD TERRY PYNES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2431 W MAIN ST, STE 501, DOTHAN, AL 36301
(334) 793-9222
(334) 671-0322
Mailing address
2431 W MAIN ST, STE 501, DOTHAN, AL 36301-1274
(334) 793-9222
(334) 671-0322

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
8834
AL
207N00000X
Dermatology Physician
8834
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000081148
AL
Enumeration date
07/12/2005
Last updated
04/12/2024
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