Provider Information for 1679165278
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DASHON C MCNELLEY ALC
Sex: Female
NPI: 1679165278
Last Updated: 2021-02-05
Certification Date: 2021-02-05
Certification Date: 2021-02-05
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679165278 | ||||||||
| Enumeration Date | 2021-02-05 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 5565 MONTGOMERY HWY DOTHAN, AL 36303-1552 United States Phone: 334-791-2792 | Fax:334-213-9669 | ||||||||
| Primary Practice Address | 5565 MONTGOMERY HWY DOTHAN, AL 36303-1552 United States Phone: 334-791-2792 | Fax:334-213-9669 | ||||||||
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