Organization
SOUTHERN ALABAMA PHYSICIANS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIK K KING MD (LLP MANAGING PARTNER)
(800) 893-9698
Entity
Organization
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(337) 609-1382
(334) 793-4613
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(337) 609-1382
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007664700
—
FL
05
—
142274
—
AL
Enumeration date
09/06/2012
Last updated
11/27/2017
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