Organization · Type 2 NPI

Wiregrass Surgical Associates, P.c.

Vascular Surgery Physician · Dothan, AL

NPI number 1750387833 Active

Practice location

1118 Ross Clark Cir, Ste 310
Dothan, AL 36301-3002

Fax (334) 793-6991

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X0074230 (AL)
Vascular Surgery Physician Primary 2086S0129X0074230 (AL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1750387833

Wiregrass Surgical Associates, P.c.'s National Provider Identifier is 1750387833, issued on Jun 23, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Dothan, AL. The record was last updated on Sep 11, 2025.