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Contact Information

WIREGRASS CLINIC LLC
4300 W MAIN ST
SUITE 21
DOTHAN, AL36305-1054
 Phone: 334-794-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurology

2084N0400X 13 Physician/Neurology
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for WIREGRASS CLINIC LLC

NPI # 1558657890
LBN Legal business name WIREGRASS CLINIC LLC
Authorized official JAMES WRIGHT - (VP PHYSICIAN BUSINESS SERVICES)
Entity Organization
Organization subpart 1 No
Enumeration date 06/24/2011
Last updated 01/23/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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