Healthcare Provider Details

I. General information

NPI: 1063330504
Provider Name (Legal Business Name): ADVANCED URGENT CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 E MAIN ST
DOTHAN AL
36301-3036
US

IV. Provider business mailing address

1785 E MAIN ST
DOTHAN AL
36301-3036
US

V. Phone/Fax

Practice location:
  • Phone: 334-661-4033
  • Fax:
Mailing address:
  • Phone: 334-661-4033
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HUNTER PHILLIPS
Title or Position: OWNER
Credential: DC
Phone: 229-456-2157