Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
Living Well Medical Weight Loss & Aesthetics Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
MR. ROBERT DEREK MILLER (CHIEF FINANCIAL OFFICER)
(334) 793-8111
Entity
Organization
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 210, DOTHAN, AL 36301-3001
(334) 702-6900
(334) 699-3169
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
(334) 793-8191
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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