Individual
DR. TATENDA ANDREW MUDYANADZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-4000
(334) 793-5000
(334) 793-5000
Mailing address
4370 W MAIN ST, DOTHAN, AL 36305-4000
(334) 793-5000
(334) 793-5000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1366903890
AL
Other
Enumeration date
03/27/2019
Last updated
06/20/2022
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