Search › Alabama › 207R00000X
Mark Kirk
NPI 1477180107 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4370 W Main St
Dothan, AL 36305 - Phone
- (334) 793-5000
- Fax
- (659) 235-6176
- Organisation at this address
- Triad Of Alabama Llc
Triad Of Alabama Llc
Triad Of Alabama Llc
App Of Alabama Hm, Llc
Flowers Pathology Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 139
Additional practice sites
- 1930 E Thomas Rd, Phoenix, AZ
- 13677 W Mcdowell Rd, Goodyear, AZ
- 18701 N 67th Ave, Glendale, AZ
- 5001 Hardy St, Hattiesburg, MS
- 54 Sergeant Prentiss Dr, Natchez, MS
- 1007 Goodyear Ave, Gadsden, AL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
207R00000X
207R00000X - Licence states on file
- AL, MS, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-06-16
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