NPI 1457027955 · live from the CMS NPI Registry
Dothan Pediatric Clinic, P. A.
Pediatrics in Dothan, AL. National Provider Identifier 1457027955, active.
NPI record
| NPI | 1457027955 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics 208000000X |
| Practice location | 5565 Montgomery Hwy, Dothan, AL 36303 |
| Practice phone | 334-699-3733 |
| Mailing address | 126 Clinic Dr, Dothan, AL 36303 |
| Enumerated | August 17, 2021 |
| Last updated | August 17, 2021 |
| Authorized official | Gina Tolar, Insurance & Collection Supervisor |
| Other names | Dothan Pediatric Subspecialty Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Pediatric Endocrinology | 2080P0205X | — |
| Pediatrics, Pediatric Gastroenterology | 2080P0206X | — |
| Pediatrics, Pediatric Pulmonology | 2080P0214X | — |
| Pediatrics, Sleep Medicine | 2080S0012X | — |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Pediatrics primary | 208000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.