NPI Provider: 1750387833
Contact Name: Fendley M. Steven
Position: President
Phone: (334) 793-1534
Wiregrass Surgical Associates, P.c. Information:
Wiregrass Surgical Associates, P.c. organization have npi 1750387833, taxonomy code is 208600000X with license number is 74230 in . This Business address located in 1118 Ross Clark Cir, Dothan, AL 36301 Alabama.
Practice Location
Address: 1118 Ross Clark Cir, Dothan, AL 36301
Phone: (334) 793-1534
Business Location
Address: 1118 Ross Clark Cir, Dothan, AL 36301
Phone: (334) 793-1534
Fax: (334) 793-6991
Taxonomy
Taxonomy Code: 208600000X
License Number: 74230
License Number of State: AL
Primary Taxonomy Switch: X
Enumeration Date: 6/23/2005
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