WIREGRASS CLINIC LLC - NPI 1497427199

Q: What is the provider's specialty?

The provider's specialty is Surgery with taxonomy code 208600000X.

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About Wiregrass Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIREGRASS CLINIC LLC (NPI 1497427199) is a healthcare organization registered as a surgery in Dothan, Alabama and active in the NPI registry since September 2021. The organization lists Jennifer L Jackson, Sr Dir Prov Enrollment & Onboarding, as its authorized official.

NPPES Registry Identity

NPI1497427199

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameWIREGRASS CLINIC LLC

Location Address4300 W MAIN ST STE 14Dothan, AL 36305-1311

Mailing AddressPo Box 689022Franklin, TN 37068-9022 · (615) 465-7230 · Fax (615) 628-6877

Phone(334) 944-7015

Fax(334) 944-7019

Organization SubpartNo

Authorized OfficialJennifer L JacksonSr Dir Prov Enrollment & Onboarding · (615) 465-3334

Enumeration DateSeptember 30, 2021

Last NPPES UpdateOctober 8, 20212 updates tracked since enumeration

NPPES CertifiedOctober 8, 2021

✔ NPI 1497427199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

4300 W MAIN ST STE 14, Dothan, AL 36305

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Group Practice 2

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARBI S. JACKSON P.T.

Physical Therapist