Unknown Individual – Urology Physician, NPI 1710984968
Urology Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1118, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States
500
DOTHAN, AL 363013001
Phone: (334) 794-4159
Fax: (334) 792-7019
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36301)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| UROLOGY | AL | 11042 | Removal of skin and tissue first 20 sq cm or less | 288 | 155 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL |
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