Southeastern Urology, PC

Organization Active NPI Urology Physician · Dothan, AL

NPI 1760023634 · NPPES record last updated Oct 2, 2019

Key facts

NPI
1760023634
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
Legal business name
SOUTHEASTERN UROLOGY, PC
Practice address
4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone
(334) 793-9564
Fax
(334) 671-8907
NPI assigned
Oct 2, 2019
Organization subpart
No

Authorized official

Name
Dr. Daniel Deighton, MD
Title
Owner
Phone
(334) 793-9564

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208800000X Yes

Addresses

Primary practice location

4300 W Main St Ste 102
Dothan, AL 36305-1306

Mailing address

4300 W Main St Ste 102
Dothan, AL 36305-1306
Phone (334) 793-9564

Other providers in Dothan, AL

All providers in Dothan, AL · Urology Physician in Alabama

Sources for this page

Verify at the official NPI Registry.