Individual
DR. RANDY GENE DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
141 TUSCALOOSA ST, MOBILE, AL 36607-3422
(251) 433-3344
(251) 433-4052
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
16421
AL
207RP1001X
Pulmonary Disease Physician
Primary
16421
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000089566
MEDICARE
AL
01
—
001162226
MS MEDICAID
MS
01
—
1201345
UHC
AL
05
—
212171
—
AL
05
—
212883
—
AL
05
—
220703
—
AL
05
—
221329
—
AL
01
—
290004600
RR MEDICARE
AL
01
—
4235591
AETNA
AL
01
—
510-89566
BCBS
AL
01
—
511-95471
BCBS
AL
01
—
512-05488
BCBS
AL
01
—
512-05489
BCBS
AL
01
—
88000059
CIGNA HC
AL
05
—
89566
—
AL
01
—
F23378
VIVA HEALTH
AL
Enumeration date
11/14/2005
Last updated
04/18/2023
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