Organization
WIREGRASS CLINIC LLC
Active
Parent organization
WIREGRASS CLINIC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WIREGRASS CLINIC LLC
Authorized official
JENNIFER L JACKSON (SR DIR PROV ENROLLMENT & ONBOARDING)
(615) 465-3334
Entity
Organization
Contact information
Practice address
4300 W MAIN ST STE 405, DOTHAN, AL 36305-1086
(334) 944-7073
(334) 944-7058
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(615) 465-7230
(615) 628-6877
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us