Organization
INTERNAL MEDICINE ASSOCIATES OF DOTHAN, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEORGE WAKEFIELD (ADMINISTRATOR)
(334) 793-5074
Entity
Organization
Contact information
Practice address
210 WESTSIDE DR, DOTHAN, AL 36303-1928
(334) 793-5074
(334) 793-6460
Mailing address
210 WESTSIDE DR, DOTHAN, AL 36303-1928
(334) 793-5074
(334) 793-6460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529302970
—
AL
Enumeration date
05/30/2006
Last updated
12/16/2009
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