NPI | 1811285968 |
---|---|
Doing Business As | DOTHAN PLASTIC SURGERY |
Entity Type | Organization |
Authorized Contact | SHAYNE MATHEWS Office Manager 334-793-3113 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 8343) |
Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL 31063) |
Enumeration Date | 2011-07-11 |
Last Update Date | 2011-07-11 |