Advanced Provider Solutions, LLC

Organization Active NPI Medical Physician Assistant · Dothan, AL

NPI 1013558147 · NPPES record last updated Sep 30, 2019

Key facts

NPI
1013558147
Entity type
Organization (NPI type 2)
Primary specialty
Medical Physician Assistant 363AM0700X
Legal business name
ADVANCED PROVIDER SOLUTIONS, LLC
Practice address
245 Cobb Rd
Dothan, AL 36301-7504
Phone
(334) 547-9186
NPI assigned
Sep 30, 2019
Organization subpart
No

Authorized official

Name
Dennis Wade Stewart, PA-C
Title
Sole Member
Phone
(334) 547-9186

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
363AM0700X Yes

Addresses

Primary practice location

245 Cobb Rd
Dothan, AL 36301-7504

Mailing address

245 Cobb Rd
Dothan, AL 36301-7504
Phone (334) 547-9186

Other providers in Dothan, AL

All providers in Dothan, AL · Medical Physician Assistant in Alabama

Sources for this page

Verify at the official NPI Registry.