ProviderBusinessMailingAddressFaxNumber = '3346997901'
NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1932497393
DOTHAN SURGICAL SERVICES, LLC
4300 W MAIN ST
DOTHAN
AL
363051054
1073508404
CARPENTER
CHARLES
JACKIE
PO BOX 6599
DOTHAN
AL
363026599
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