Individual
DR. MARK E. CHOQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14035
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000619286E
—
GA
05
—
009988705
—
AL
01
—
515-27360
BCBS OF AL 1500 RCC
AL
Enumeration date
02/06/2006
Last updated
11/20/2014
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