Organization
DOTHAN INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY K BEAUCHAMP M.D. (PRESIDENT)
(334) 699-2004
Entity
Organization
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 105, DOTHAN, AL 36301-3001
(334) 699-2004
(334) 699-2006
Mailing address
1118 ROSS CLARK CIR, SUITE 105, DOTHAN, AL 36301-3001
(334) 699-2004
(334) 699-2006
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00020759
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51522252
BCBS
AL
05
—
529919960
—
AL
Enumeration date
01/02/2007
Last updated
01/31/2008
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