Provider First Line Business Practice Location Address:
4370 W MAIN ST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF INTERNAL MEDICINE
Provider Business Practice Location Address City Name:
DOTHAN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36305
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-994-7090
Provider Business Practice Location Address Fax Number:
334-944-7018
Provider Enumeration Date:
06/17/2025