Organization
RHEUMATOLOGY ASSOCIATES OF DOTHAN IDTF
Active
Organization
RHEUMATOLOGY ASSOCIATES OF DOTHAN IDTF
Active
Parent organization
RHEUMATOLOGY ASSOCIATES OF DOTHAN, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RHEUMATOLOGY ASSOCIATES OF DOTHAN, PC
Authorized official
PARKS W PRATT MD (OWNER)
(334) 793-9564
Entity
Organization
Contact information
Practice address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Mailing address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14110
AL
Other
Enumeration date
12/14/2006
Last updated
10/04/2007
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