Organization
PULMONARY ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER S BOSTIC LPN (ADMINISTRATOR)
(334) 305-0400
Entity
Organization
Contact information
Practice address
1450 ROSS CLARK CIR STE 400, DOTHAN, AL 36301-4770
(334) 305-0400
(334) 305-0401
Mailing address
PO BOX 2266, DOTHAN, AL 36302-2266
(334) 305-0400
(334) 305-0401
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054769700
—
FL
05
—
528902840
—
AL
Enumeration date
01/18/2006
Last updated
08/12/2019
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