Individual
AUBREY DUSTIN GANDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4370 W MAIN ST, DOTHAN, AL 36305-1056
(334) 793-0010
Mailing address
PO BOX 1410, DOTHAN, AL 36302-1410
(334) 793-0010
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
DO.1039
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110832
—
AL
01
—
51049105
BCBS
AL
Enumeration date
02/04/2009
Last updated
03/10/2011
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