Healthcare Provider Details

I. General information

NPI: 1275475758
Provider Name (Legal Business Name): MUHAMMAD ATIF NAZIR
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4370 WEST MAIN STREET
DOTHAN AL
36305
US

IV. Provider business mailing address

PO BOX 6907
DOTHAN AL
36302
US

V. Phone/Fax

Practice location:
  • Phone: 334-793-5000
  • Fax: 334-793-4613
Mailing address:
  • Phone: 334-793-5000
  • Fax: 334-793-4613

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: