| NPI | 1457027955 |
|---|---|
| Doing Business As | DOTHAN PEDIATRIC SUBSPECIALTY CLINIC |
| Entity Type | Organization |
| Authorized Contact | GINA TOLAR Insurance & Collection Supervisor 334-793-1881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 2080P0214X Pediatrics, Pediatric Pulmonology | |
| 2080S0012X Pediatrics, Sleep Medicine | |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2021-08-17 |
| Last Update Date | 2021-08-17 |