Organization
CARDIOLOGY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA W REEVES (ADMINISTRATOR)
(334) 793-9564
Entity
Organization
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 501, DOTHAN, AL 36301-3041
(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
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054641100
—
FL
05
—
528400090
—
AL
01
—
CE0117
RAILROAD MEDICARE
AL
Enumeration date
10/26/2009
Last updated
10/26/2009
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