Organization
WIREGRASS NEUROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA W REEVES (ADMINISTRATOR)
(334) 793-9564
Entity
Organization
Contact information
Practice address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1092
(334) 793-9564
(334) 671-8907
Mailing address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1092
(334) 793-9564
(334) 671-8907
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
30759
AL
Other
Enumeration date
05/02/2011
Last updated
05/02/2011
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