Individual
DR. BONNIE J. DUNGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
19782
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000727933B
—
GA
05
—
009956375
—
AL
05
—
121894
—
AL
01
—
511-09065
BCBS OF AL - HEALTHWEST
AL
01
—
515-21889
BCBS OF AL- 1500 ROSS CLA
AL
Enumeration date
08/09/2005
Last updated
11/20/2014
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