Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
Southeast Cancer Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
CRYSTAL SPANN FOSTER DO (BUSINESS MANAGER)
(334) 793-8087
Entity
Organization
Contact information
Practice address
1118 ROSS CLARK CIR STE 200, DOTHAN, AL 36301-3029
(334) 944-4673
(334) 712-3309
Mailing address
PO BOX 1928, DOTHAN, AL 36302-1928
(334) 793-8087
(334) 305-0203
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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