| 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 |