Organization
WIREGRASS RADIOLOGICAL CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUDLEY J TERRELL MD (PRESIDENT)
(334) 671-1696
Entity
Organization
Contact information
Practice address
126 HOSPITAL AVE, OZARK, AL 36360-2018
(334) 671-1696
(334) 794-0721
Mailing address
2015 ALEXANDER DR, DOTHAN, AL 36301-3003
(334) 671-1696
(334) 794-0721
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528301670
—
AL
Enumeration date
12/30/2005
Last updated
07/21/2022
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