Individual
DR. CLIFFORD C QUINTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 460-8391
Mailing address
2812 HARTFORD HWY STE 1, DOTHAN, AL 36305-4927
(334) 712-1170
(334) 460-8391
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
00022684
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144475
—
AL
05
—
170540
—
AL
Enumeration date
06/29/2006
Last updated
07/08/2021
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