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Search › Alabama › 225100000X

Jeremy Fossum, DPT

NPI 1548932262 · on the registry since 2021

Practice

Address
512 N Shady Ln
Dothan, AL 36303
Phone
(334) 699-5747
Organisation at this address
Hughston Clinic Pc
Hughston Medical Group, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
AL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Alabama