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Individual

MR. ADAM L BORCIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
345 HEALTHWEST DR, DOTHAN, AL 36303-2053
(334) 836-4523
(334) 673-0599
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3740
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121678
AL
01
511-09124
BCBS OF ALABAMA
AL
05
890016810
AL
Enumeration date
06/21/2005
Last updated
11/20/2014
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