Dr. Timothy Ryan Pflugner , MD
Orthopaedic Surgery โข Dothan, AL
1500 Ross Clark Cir
Dothan, AL 363014754
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Timothy Pflugner is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on May 21, 2007; this date does not establish years in practice.
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Published CMS data list 1,545 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 289 service units.
- J0702 โ Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg: 225 service units.
- 99213 โ Established patient outpatient office visit: 177 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 18 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 1,109 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 228 prescription fills, including refills.
- Celecoxib โ 149 prescription fills, including refills.
- Gabapentin โ 146 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 16 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Dothan, AL (2024, 13 clinicians with data). Median for this group: 1,946. Middle half: 1,213 to 5,141.
Close to the middle for Medicare Part B services among clinicians listed under Orthopaedic Surgery in Alabama (2024, 221 clinicians with data). Median for this group: 1,872. Middle half: 678 to 3,911.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,932 in 2020 to 1,545 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1500 Ross Clark Cir
Dothan, AL 363014754
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: S.B.J.S. Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2006
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
402 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $162,003 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $119,737 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
1,156 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$9,773 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $1,521.21 across 14 records.
By nature of payment
- Travel and Lodging: $989.42 across 5 records.
- Food and Beverage: $531.79 across 9 records.
Reporting-company totals (3 largest of 5)
- Zimmer Biomet Holdings, Inc.: $1,293.21 across 9 records.
- Smith+Nephew, Inc.: $177.15 across 2 records.
- Solventum Corporation: $24.91 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Pflugner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Pflugner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Dothan and Alabama
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Orthopaedic Surgery in Dothan, AL (2024, 13 clinicians with data). Median for this group: 1,946. Middle half: 1,213 to 5,141.
Close to the middle for clinicians listed under Orthopaedic Surgery in Alabama (2024, 221 clinicians with data). Median for this group: 1,872. Middle half: 678 to 3,911.
Medicare-allowed amount
Close to the middle for clinicians listed under Orthopaedic Surgery in Dothan, AL (2024, 13 clinicians with data). Median for this group: $151,243. Middle half: $73,751 to $212,886.
A higher Medicare-allowed amount than 75% of clinicians listed under Orthopaedic Surgery in Alabama (2024, 221 clinicians with data). Median for this group: $96,421. Middle half: $44,144 to $151,292.
Paid by Medicare
Close to the middle for clinicians listed under Orthopaedic Surgery in Dothan, AL (2024, 13 clinicians with data). Median for this group: $115,287. Middle half: $54,938 to $165,352.
A higher Medicare payment amount than 75% of clinicians listed under Orthopaedic Surgery in Alabama (2024, 221 clinicians with data). Median for this group: $72,628. Middle half: $33,491 to $115,287.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Orthopaedic Surgery in Dothan, AL (2024, 13 clinicians with data). Median for this group: 988. Middle half: 419 to 1,125.
More Part D prescriptions than 70% of clinicians listed under Orthopaedic Surgery in Alabama (2024, 232 clinicians with data). Median for this group: 584. Middle half: 239 to 1,118.
Part D drug cost
A higher Part D drug cost than 65% of clinicians listed under Orthopaedic Surgery in Dothan, AL (2024, 13 clinicians with data). Median for this group: $8,362. Middle half: $5,336 to $10,085.
A higher Part D drug cost than 65% of clinicians listed under Orthopaedic Surgery in Alabama (2024, 232 clinicians with data). Median for this group: $5,642. Middle half: $1,741 to $12,227.
16 active clinicians are listed under Orthopaedic Surgery with a practice address in Dothan, AL (341 in Alabama).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Dothan
0% of these 16 clinicians have the CMS telehealth indicator.
81.2% of these 16 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 20% from 1,932 in 2020 to 1,545 in 2024.
- 2020: 1,932
- 2021: 1,925
- 2022: 1,735
- 2023: 3,187
- 2024: 1,545
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Medicare-allowed amount
Medicare-allowed amount increased 44% from $112,268 in 2020 to $162,003 in 2024.
- 2020: $112,268
- 2021: $192,619
- 2022: $171,533
- 2023: $144,900
- 2024: $162,003
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Paid by Medicare
Paid by Medicare increased 40% from $85,704 in 2020 to $119,737 in 2024.
- 2020: $85,704
- 2021: $146,148
- 2022: $128,162
- 2023: $108,692
- 2024: $119,737
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 122% from 500 in 2020 to 1,109 in 2024.
- 2020: 500
- 2021: 495
- 2022: 609
- 2023: 777
- 2024: 1,109
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30-day fills
30-day fills increased 121% from 523 in 2020 to 1,156 in 2024.
- 2020: 523
- 2021: 527
- 2022: 645
- 2023: 797
- 2024: 1,156
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Part D drug cost
Part D drug cost decreased 16% from $11,596 in 2020 to $9,773 in 2024.
- 2020: $11,596
- 2021: $5,412
- 2022: $50,069
- 2023: $6,858
- 2024: $9,773
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $83.67 in 2021 to $1,521.21 in 2025.
- 2021: $83.67
- 2022: $59.86
- 2023: $440.46
- 2024: $29.55
- 2025: $1,521.21
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 14 records totaling $1,521.21.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
|
Oxford | General | $546.25 |
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
|
Oxford | General | $353.90 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $139.49 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
|
Persona | General | $106.05 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
|
Oxford | General | $86.61 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
|
Oxford | General | $66.68 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
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Oxford | General | $44.45 |
| Smith+Nephew, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $37.66 |
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
|
Oxford | General | $35.00 |
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
|
Oxford | General | $29.27 |
| Zimmer Biomet Holdings, Inc. |
Travel and Lodging
In-kind items and services
|
Oxford | General | $25.00 |
| Solventum Corporation |
Food and Beverage
Cash or cash equivalent
|
ACTIV.A.C. | General | $24.91 |
| DePuy Synthes Sales Inc. |
Food and Beverage
In-kind items and services
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MONOVISC | General | $16.04 |
| HERAEUS MEDICAL, LLC. |
Food and Beverage
In-kind items and services
|
PALACOS | General | $9.90 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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289 | 196 | $125.00 | $114.43 |
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J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
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225 | 144 | $18.00 | $6.86 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
177 | 134 | $88.00 | $80.54 |
|
73564
X-ray of knee, 4 or more views
|
153 | 116 | $123.00 | $40.07 |
|
20610
Aspiration and/or injection of fluid from large joint
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121 | 88 | $132.69 | $66.44 |
|
73502
X-ray of hip, 2-3 views
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115 | 83 | $90.00 | $39.52 |
|
73560
X-ray of knee, 1-2 views
|
83 | 47 | $91.00 | $28.01 |
|
20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
|
82 | 68 | $124.00 | $92.13 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
80 | 80 | $186.00 | $151.40 |
|
73030
X-ray of shoulder, minimum of 2 views
|
72 | 44 | $103.00 | $29.09 |
|
72100
X-ray of lower and sacral spine, 2-3 views
|
35 | 35 | $139.00 | $34.41 |
|
27447
Replacement of knee joint, both sides of knee
|
27 | 26 | $6298.00 | $1152.64 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
20 | 20 | $251.00 | $160.40 |
|
27130
Replacement of thigh bone and hip joint with prosthesis
|
15 | 15 | $6244.00 | $1155.00 |
|
27245
Treatment of broken neck of thigh bone with bone implant
|
14 | 14 | $3877.00 | $1103.73 |
|
73610
X-ray of ankle, minimum of 3 views
|
14 | 11 | $105.00 | $30.38 |
|
72040
X-ray of upper spine, 2-3 views
|
12 | 11 | $101.00 | $32.75 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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11 | 11 | $121.00 | $109.42 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 228 | 1,802 | $2,063.24 | 162 |
| Celecoxib | Celecoxib | 149 | 5,070 | $1,917.89 | 59 |
| Gabapentin | Gabapentin | 146 | 1,934 | $606.99 | 90 |
| Prednisone | Prednisone | 94 | 1,309 | $160.31 | 90 |
| Ondansetron Odt | Ondansetron | 94 | 962 | $1,034.50 | 90 |
| Cefdinir | Cefdinir | 85 | 593 | $1,417.93 | 80 |
| Meloxicam | Meloxicam | 82 | 2,980 | $163.93 | 26 |
| Tramadol Hcl | Tramadol Hcl | 57 | 569 | $184.11 | 46 |
| Amoxicillin | Amoxicillin | 40 | 316 | $36.49 | 23 |
| Sulfamethoxazole-Trimethoprim | Sulfamethoxazole/Trimethoprim | 38 | 480 | $178.37 | 27 |
| Minocycline Hcl | Minocycline Hcl | 26 | 780 | $1,015.53 | โ |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 19 | 155 | $167.09 | 12 |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 15 | 113 | $83.28 | 14 |
| Etodolac | Etodolac | 12 | 360 | $562.80 | โ |
| Diclofenac Sodium | Diclofenac Sodium | 12 | 214 | $174.11 | โ |
| Lorazepam | Lorazepam | 12 | 12 | $6.55 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 208600000X
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20120730000759
AL
0547430100
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
S.b.j.s. Pc
1500 Ross Clark Cir, Dothan, AL 363014754
Phone: 3347932663
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Physician Assistant - Medical
Physician Assistant
Orthopaedic Surgery
Doctor of Medicine (M.D.)
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated May 21, 2007.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Dothan
- Dr. Timothy Haley, MD
- Dr. David Alford, MD
- Dr. J. Maddox, MD
- Dr. Ryan Breland, MD
- Dr. Jeremiah Maddox, MD
- Dr. Judson Moore, MD
Mailing Address
Po Box 729
Dothan, AL 363020729
Phone: 3347932663