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1235238635
WIREGRASS FAMILY PRACTICE OF DOTHAN PC
DOTHAN, AL
NPI
1235238635
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Entity Type
Organization
Authorized Contact
MIMS HACKETT
Administrator
334-699-8585
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-09-22
Last Update Date
2008-03-24
Business Address
WIREGRASS FAMILY PRACTICE OF DOTHAN PC
1836 W MAIN ST
DOTHAN, AL 36301-1320
Phone number: 334-699-8585
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Mailing Address
WIREGRASS FAMILY PRACTICE OF DOTHAN PC
1836 W MAIN ST
DOTHAN, AL 36301-1320
Phone number: 334-699-8585
Copy
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