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OBSTETRICS & GYNECOLOGY OF DOTHAN INC

Obstetrics & Gynecology

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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Contact Information

OBSTETRICS & GYNECOLOGY OF DOTHAN INC
104 MEDICAL DR
DOTHAN, AL  36303
 Phone: 334-671-9445
 Fax: 334-836-0059
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

 207V00000X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

 363LX0001X 50 Nurse Practitioner
 

Physician Assistant

 363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for OBSTETRICS & GYNECOLOGY OF DOTHAN INC

NPI # 1114021409
LBN Legal business name OBSTETRICS & GYNECOLOGY OF DOTHAN INC
Authorized official DANA GAYLORD - (ADMINISTRATIVE ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2006
Last updated 12/04/2015 - About 11 years ago
Identifiers
AL License # 1006758
AL License # 23245
AL License # 26014
AL License # 31756
AL License # 31759
AL License # 32437
AL License # DO1161
AL License # PA-204
AL Medicaid 051502953
AL Medicaid 051520983
Other 01D0989955 CLIA WAIVED
Other 01D2074304 CLIA WAIVED
Other 01D2068157 CLIA WAVIER
Other 529928670 MEDICAID GROUP
Other C47766 MEDICAL PROTECTIVE
Other 1826 MEDICARE GROUP NUMBER
AL Other 01D2043043 CLIA WAIVED
AL Other 01D2052896 CLIA WAIVED
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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