Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
Westway Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
MR. ROBERT DEREK MILLER (CFO)
(334) 793-8111
Entity
Organization
Contact information
Practice address
4550 W MAIN ST, SUITE 1, DOTHAN, AL 36305-1130
(334) 446-4700
(334) 446-4720
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
(334) 678-2895
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153687
—
AL
Enumeration date
01/02/2017
Last updated
05/02/2017
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