Individual
CRAIG DEAN OMOHUNDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207N00000X
Dermatology Physician
Primary
20605
AL
207ND0101X
MOHS-Micrographic Surgery Physician
20605
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000032376
—
AL
05
—
00749185A
—
GA
05
—
255070900
—
FL
Enumeration date
09/13/2005
Last updated
10/22/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us