DOTHAN NEURODIAGNOSTIC CENTER PC (NPI# 1043463557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043463557 |
| Entity Type | Organization |
| Organization Name | DOTHAN NEURODIAGNOSTIC CENTER PC |
| Practice Address |
1800 Fairview Ave Suite 1 Dothan AL 36301-3058 |
| Practice Telephone | 3347931703 |
| Practice Fax Number | 3347939314 |
| Mailing Telephone | 3347931703 |
| Mailing Fax Number | 3347939314 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Authorized Official Name | ALAN D PRINCE (OWNER) |
| Authorized Official Telephone | 3347931703 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
11321 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
1800 FAIRVIEW AVE SUITE 1 |
| City | DOTHAN |
| State | AL |
| Zip Code | 36301-3058 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154326783 | Paul H Chan | Internal Medicine | 1800 Fairview Ave, Suite 2, Dothan, AL 36301-3058 | 2005-06-20 |
| 1114113578 | Paul H. Chan Md PC | Clinic/Center | 1800 Fairview Ave, Suite 2, Dothan, AL 36301-3058 | 2007-09-19 |
| 1376593681 | Alan David Prince | Psychiatry & Neurology | 1800 Fairview Ave, Suite 1, Dothan, AL 36301-3026 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043862931 | Pharmacy Center South LLC | Pharmacy | 2826 Ross Clark Circle, Suite 103, Dothan, AL 36301 | 2019-07-11 |
| 1851879167 | Attallah Cotton | Social Worker | 101 Eastridge Dr, Dothan, AL 36301 | 2018-07-31 |
| 1225522709 | Nichole Johnson Prestwood | Nurse Practitioner | 2431 W Main St Ste 501, Dothan, AL 36301 | 2018-06-19 |
| 1750805818 | Kimberly Danielle Austin | Speech-Language Pathologist | 404 Darlington Cir, Dothan, AL 36301 | 2017-07-31 |
| 1952794885 | Lori P. Granberry | Pharmacist | 2131 Ross Clark Circle, Dothan, AL 36301 | 2015-03-17 |
| 1801286059 | Robert Cody Russell | Nurse Practitioner | 1118 Ross Clark Circle, Suite 100, Dothan, AL 36301 | 2015-01-27 |
| 1720407646 | Michael Kreger | Anesthesiology | 1118 Ross Clark Cir Ste 700, Dothan, AL 36301 | 2014-04-08 |
| 1063851277 | Carlos Stanford Clark II | Family Medicine | 201 Doctors Drive, Dothan, AL 36301 | 2013-06-20 |
| 1639489313 | Robert Fort Hambaugh Jr. | Specialist | 712 Woodland Drive, Dothan, AL 36301 | 2010-10-15 |
| 1588894976 | Atwill Lamar Miller Jr. | Urology | 1908 Fairview Avenue, Dothan, AL 36301 | 2009-07-20 |
| Find all providers in zip 36301 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801163506 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 1865 Honeysuckle Rd Ste 3, Dothan, AL 36305-4287 | 2011-11-23 |
| 1942397302 | Amir Ilyas | Psychiatry & Neurology | 1865 Honeysuckle Rd, Suite 3, Dothan, AL 36305-4286 | 2006-10-06 |
| 1467408328 | William G Watson Jr. | Psychiatry & Neurology | 2581 Montgomery Hwy, Dothan, AL 36303 | 2006-05-25 |
| 1043262736 | Sher M Ghori | Psychiatry & Neurology | 1118 Ross Clark Cir Ste 301, Dothan, AL 36301-3002 | 2006-05-17 |
| 1225086366 | Michael John Labanowski | Psychiatry & Neurology | 2346 W Main St, Ste. 2, Dothan, AL 36301-1224 | 2006-05-04 |
| 1851366009 | Hassan Kesserwani | Psychiatry & Neurology | 348 Healthwest Dr, Dothan, AL 36303-1907 | 2006-02-21 |
| 1821466434 | S.b.j.s., PC | Psychiatry & Neurology | 345 Healthwest Dr, Dothan, AL 36303-2053 | 2015-09-14 |
| 1679912570 | Yogesh Gujrati | Psychiatry & Neurology | 102 Doctors Dr, Dothan, AL 36301-2911 | 2013-06-24 |
| 1992096440 | Wiregrass Neurology, PC | Psychiatry & Neurology | 4300 W Main St, Suite 102, Dothan, AL 36305-1092 | 2011-05-02 |
| 1215005616 | Meghani Medical, PC | Psychiatry & Neurology | 1865 Honeysuckle Rd, Suite 3, Dothan, AL 36305-4286 | 2006-12-01 |
| Find all providers in DOTHAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.