Organization
TRIAD OF ALABAMA LLC
Active
Other names
Dothan Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA HURLEY (SENIOR VICE PRESIDENT)
(214) 473-3993
Entity
Organization
Contact information
Practice address
4300 W MAIN ST, SUITE 2, DOTHAN, AL 36305-1054
(334) 794-5000
Mailing address
PO BOX 1964, DOTHAN, AL 36302-1964
(334) 794-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
08/22/2020
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