Provider Demographics
NPI:1093749038
Name:JOHN A. DORSEY, M.D., P.C.
Entity Type:Organization
Organization Name:JOHN A. DORSEY, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:AMSTUTZ
Authorized Official - Last Name:DORSEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-624-0472
Mailing Address - Street 1:PO BOX 576
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:36744-0576
Mailing Address - Country:US
Mailing Address - Phone:334-624-0472
Mailing Address - Fax:334-624-0472
Practice Address - Street 1:745 HORSE SHOE BND
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:AL
Practice Address - Zip Code:36744-5438
Practice Address - Country:US
Practice Address - Phone:334-624-0472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000268912084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty