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1760023634
SOUTHEASTERN UROLOGY, PC
DOTHAN, AL
NPI
1760023634
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Entity Type
Organization
Authorized Contact
DANIEL DEIGHTON
Owner
334-793-9564
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2019-10-02
Last Update Date
2019-10-02
Business Address
SOUTHEASTERN UROLOGY, PC
4300 W MAIN ST STE 102
DOTHAN, AL 36305-1306
Phone number: 334-793-9564
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Mailing Address
SOUTHEASTERN UROLOGY, PC
4300 W MAIN ST STE 102
DOTHAN, AL 36305-1306
Phone number: 334-793-9564
Copy
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