Organization
ABIDE HEALTH & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITA TITRUD HEERSINK MD (MEDICAL DIRECTOR)
(205) 807-6482
Entity
Organization
Contact information
Practice address
3113 WESLEY WAY STE 2, DOTHAN, AL 36305-2004
(334) 203-4145
(334) 245-0335
Mailing address
3113 WESLEY WAY STE 2, DOTHAN, AL 36305-2004
(334) 203-4145
(334) 245-0335
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
12/06/2023
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