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1457898983
WIREGRASS MEDICAL ASSOCIATES 2 LLC
DOTHAN, AL
NPI
1457898983
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Entity Type
Organization
Authorized Contact
KENNETH W HARRIS
Owner
334-699-5780
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
WIREGRASS MEDICAL ASSOCIATES 2 LLC
2431 W MAIN ST STE 1102
DOTHAN, AL 36301-1217
Phone number: 334-699-5780
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Mailing Address
WIREGRASS MEDICAL ASSOCIATES 2 LLC
2431 W MAIN ST STE 1102
DOTHAN, AL 36301-1217
Phone number: 334-699-5780
Copy
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