Organization
WIREGRASS RADIATION ONCOLOGY PC
Active
Organization
WIREGRASS RADIATION ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARROD B ADKISON MD (OWNER)
(334) 699-8111
Entity
Organization
Contact information
Practice address
1108 ROSS CLARK CIR, RADIATION ONCOLOGY, DOTHAN, AL 36301-3022
(334) 793-8081
(334) 793-1448
Mailing address
PO BOX 11407, DEPT. 2131, BIRMINGHAM, AL 35246-2131
(334) 793-8081
(334) 793-1448
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511-98066
BCBS DOTHAN
AL
05
—
529917150
—
AL
01
—
DC5678
RAILROAD MEDICARE
—
Enumeration date
02/28/2007
Last updated
11/26/2018
Update your record
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