Provider Demographics
NPI:1518925197
Name:DOZIER, PHILIP M (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:M
Last Name:DOZIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4300 WEST MAIN ST
Mailing Address - Street 2:STE 31
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-4300
Mailing Address - Country:US
Mailing Address - Phone:334-793-6511
Mailing Address - Fax:334-793-4697
Practice Address - Street 1:4300 WEST MAIN ST
Practice Address - Street 2:WOMENS HEALTHCARE OF DOTHAN PC STE 31
Practice Address - City:DOTHAN
Practice Address - State:AL
Practice Address - Zip Code:36305-4300
Practice Address - Country:US
Practice Address - Phone:334-793-6511
Practice Address - Fax:334-793-4697
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL00010390207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000019202Medicaid
AL000019202Medicaid
AL19202Medicare ID - Type Unspecified