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STEPHEN L FERNANDEZ, MD – NPI #1316920069
Diagnostic Radiology

NPI Profile for STEPHEN L FERNANDEZ in DOTHAN, AL.

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Contact Information

STEPHEN L FERNANDEZ, MD
1900 FAIRVIEW AVE
DOTHAN, AL  36301-3008
 Phone: 334-794-9511
 Fax: 334-794-0721
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

 2085R0202X 30 Physician/Diagnostic Radiology
 

Vascular & Interventional Radiology

 2085R0204X 94 Physician/Interventional Radiology
Indicates primary specialty

NPI Profile & details for STEPHEN L FERNANDEZ · (Male)

NPI # 1316920069
Status Active
Credentials MD
Entity Individual
Enumeration date 11/28/2005
Last updated 01/15/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 23206
  • AL Medicaid 000055717
  • AL Medicaid 009997685
  • AL Medicaid 009997695
  • AL Medicaid 009997705
  • AL Medicaid 009999881
  • FL Medicaid 261080900
  • GA Medicaid 000891624B
Hospital affiliation(s)
  • FLOWERS HOSPITAL - (Acute Care)
    4370 WEST MAIN STREET
    DOTHAN, AL 36305
  • MEDICAL CENTER BARBOUR - (Acute Care)
    820 W WASHINGTON ST
    EUFAULA, AL 36027
  • MEDICAL CENTER ENTERPRISE - (Acute Care)
    400 N EDWARDS STREET
    ENTERPRISE, AL 36330
  • MIZELL MEMORIAL HOSPITAL - (Acute Care)
    702 N MAIN ST
    OPP, AL 36467
  • SOUTHEAST ALABAMA MEDICAL CENTER - (Acute Care)
    1108 ROSS CLARK CIRCLE
    DOTHAN, AL 36301
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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