| NPI | 1427210491 |
|---|---|
| Doing Business As | DOTHAN FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GLEN A GABRIELSON Physician/Owner 334-794-6504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: AL 12449) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-09-19 |