Individual
DR. WALTER JEFFERIES DOTY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 ROSS CLARK CIR STE 400, DOTHAN, AL 36301-4770
(334) 305-0400
(334) 305-0401
Mailing address
PO BOX 2266, DOTHAN, AL 36302-2266
(334) 305-0400
(334) 305-0401
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
29236
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164603
—
AL
Enumeration date
06/07/2007
Last updated
07/21/2022
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