Wiregrass Clinic Llc

LBN: Wiregrass Clinic Llc
Wiregrass Clinic Llc is an health care organization with primary practice located at 4300 W Main St Ste 14 , Dothan AL 36305-1311. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Wiregrass Clinic Llc can be contacted via phone (334) 944-7015, or through Jackson, Jennifer L via phone (615) 465-3334.

Contact Information

Primary practice address
4300 W Main St Ste 14 Dothan AL 36305-1311
Phone: (334) 944-7015
Fax: (334) 944-7019
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Jennifer L
Phone: (615) 465-3334

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1497427199
LBN Legal business name Wiregrass Clinic Llc
DBA Doing business as
Authorized official Jackson, Jennifer L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2021
Last updated Oct 8th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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