Organization
GASTROENTEROLOGY ASSOCIATES OF DOTHAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICK GWIN (ADMINISTRATOR)
(334) 836-1212
Entity
Organization
Contact information
Practice address
480 HONEYSUCKLE RD, DOTHAN, AL 36305-1156
(334) 836-1212
(334) 836-1888
Mailing address
480 HONEYSUCKLE RD, DOTHAN, AL 36305-1156
(334) 836-1212
(334) 836-1888
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E427
MEDICARE GROUP PAYEE
AL
Enumeration date
01/02/2007
Last updated
08/22/2020
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