Organization
WIREGRASS VASCULAR, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM N VEALE II M.D., MPH (OWNER/PRESIDENT)
(334) 673-0049
Entity
Organization
Contact information
Practice address
112 HAVEN DR, SUITE 1, DOTHAN, AL 36301-2907
(334) 673-0049
Mailing address
112 HAVEN DR, SUITE 1, DOTHAN, AL 36301-2907
(334) 673-0049
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
30278
AL
Other
Enumeration date
07/30/2010
Last updated
07/30/2010
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