Organization
HEARTS SOUTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA L TRIMNEL (ADMINISTRATOR)
(334) 793-5672
Entity
Organization
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 403, DOTHAN, AL 36301-3001
(334) 793-5672
(334) 794-0378
Mailing address
1118 ROSS CLARK CIR, SUITE 403, DOTHAN, AL 36301-3001
(334) 793-5672
(334) 794-0378
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0000X
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529301920
—
AL
Enumeration date
06/05/2007
Last updated
12/01/2010
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