Organization
DOTHAN INTERNAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY K BEUACHAMP M.D. (OWNER)
(334) 699-2004
Entity
Organization
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 105, DOTHAN, AL 36301-3001
(334) 699-2004
(334) 699-2006
Mailing address
1118 ROSS CLARK CIR, SUITE 105, DOTHAN, AL 36301-3001
(334) 699-2004
(334) 699-2006
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20759
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003831983
NPI INDIVIDUAL
AL
Enumeration date
12/23/2014
Last updated
12/23/2014
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