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Organization

GHORI LLC

Active
Other names
Wiregrass Neurology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHER M GHORI M.D. (OWNER)
(334) 792-8679
Entity
Organization

Contact information

Practice address
1369 W. MAIN ST., SUITE 2, DOTHAN, AL 36301
(334) 792-8679
(877) 361-4549
Mailing address
1369 W. MAIN ST., SUITE 2, DOTHAN, AL 36301
(334) 792-8679
(877) 361-4549

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00023730
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00051530943
AL
01
51530943
BCBS PROV NUMBER
05
529926690
AL
Enumeration date
11/27/2007
Last updated
10/21/2022
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