Organization
FAY FERRELL, M.D., PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADELINE FAY FERRELL M.D., PH.D. (OWNER)
(334) 671-5577
Entity
Organization
Contact information
Practice address
114 E TROY ST, DOTHAN, AL 36303-4844
(334) 671-5577
Mailing address
114 E TROY ST, DOTHAN, AL 36303-4844
(334) 671-5577
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
19045
AL
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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