Individual
DR. SAM CARROLL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 HAVEN DR, DOTHAN, AL 36301-2919
(334) 793-1964
(334) 794-4131
Mailing address
207 HAVEN DR, DOTHAN, AL 36301-2919
(334) 793-1964
(334) 794-4131
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8923
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51003791
BLUE CROSS ALABAMA
AL
Enumeration date
03/30/2006
Last updated
07/08/2007
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