Organization
WIREGRASS MEDICAL ASSOCIATES 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH W HARRIS MD (OWNER)
(334) 699-5780
Entity
Organization
Contact information
Practice address
2431 W MAIN ST, STE 1102, DOTHAN, AL 36301-1217
(334) 699-5780
(334) 699-5786
Mailing address
2431 W MAIN ST, STE 1102, DOTHAN, AL 36301-1217
(334) 699-5780
(334) 699-5786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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