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 |
1922072834 | DREICER | VICTOR | S |   | PO BOX 6599 | DOTHAN | AL | 363021654 |