Organization
WIREGRASS SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M. FENDLEY M.D. (PRESIDENT)
(334) 793-1534
Entity
Organization
Contact information
Practice address
1118 ROSS CLARK CIR, STE 310, DOTHAN, AL 36301-3002
(334) 793-1534
(334) 793-6991
Mailing address
1118 ROSS CLARK CIR, STE 310, DOTHAN, AL 36301-3002
(334) 793-1534
(334) 793-6991
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0074230
AL
2086S0129X
Vascular Surgery Physician
Primary
0074230
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000003047248
PHCS GROUP ID #
AL
Enumeration date
06/23/2005
Last updated
09/11/2025
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