Organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Active
Parent organization
HOUSTON COUNTY HEALTHCARE AUTHORITY
Other names
NeuroSpine Center/Osteopathic Principles & Practices
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOUSTON COUNTY HEALTHCARE AUTHORITY
Authorized official
MR. ROBERT DEREK MILLER (CHIEF FINANCIAL OFFICER)
(334) 793-8111
Entity
Organization
Contact information
Practice address
102 DOCTORS DR, DOTHAN, AL 36301-2911
(334) 793-8804
(334) 699-4473
Mailing address
102 DOCTORS DR, DOTHAN, AL 36301-2911
(334) 793-8804
(334) 699-4473
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
11/14/2008
Last updated
12/07/2015
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