Individual
DONAVON L WEWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301-3001
(334) 794-1148
(334) 793-1954
Mailing address
1118 ROSS CLARK CIR, SUITE 100, DOTHAN, AL 36301-3001
(334) 794-1148
(334) 793-1954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00024467
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051516124
—
AL
01
—
51516124
BCBS
AL
01
—
P00055040
RAILROAD MEDICARE
AL
Enumeration date
05/23/2006
Last updated
01/12/2010
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