Dothan Neurodiagnostic Center PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

11321 Issued in AL

Legal business name

DOTHAN NEURODIAGNOSTIC CENTER PC

Practice address

1800 Fairview Ave
Suite 1
Dothan, AL 36301-3058

Phone

(334) 793-1703

Fax

(334) 793-9314

NPI assigned

Oct 28, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alan D Prince, MD

Title

Owner

Phone

(334) 793-1703

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1043463557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FAIRVIEW AVE",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013058",
            "telephone_number": "334-793-1703",
            "fax_number": "334-793-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FAIRVIEW AVE",
            "address_2": "SUITE 1",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013058",
            "telephone_number": "334-793-1703",
            "fax_number": "334-793-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN NEURODIAGNOSTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-793-1703",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "AL",
            "license": "11321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dothan Internal Medicine
• Dothan Internal Medicine, LLC
• Dothan Massage School
• Dothan Medical Associates, P.C.
• Dothan Medical Associates, P.C.
• Dothan Neurology Clinic, PC
• Dothan OBGYN, Inc.
• Dothan Ophthalmology
• Dothan Pain Center LLC
• Dothan Pediatric Clinic, P. a.

• Neurology Physician in Dothan, AL
• Providers in Dothan, AL by specialty
• Neurology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.