Organization
PULMONARY ASSOCIATES, PA
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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