Southeastern Dermatology Centers

NPI 1194789172 - Specialist - 174400000X

NPI Details
NPI 1194789172
Enumeration Date 04/14/2006
Last Updated 03/30/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name G. SCOTT G.
Position CHIEF INTEGRATION OFFICER
Phone (205) 781-6995
Fax (205) 781-8783
Practice Location
817 PRINCETON AVE SW
POB II, SUITE 302
BIRMINGHAM AL, 35211-1333, US
Phone (205) 781-6995
Fax (205) 781-8783
Business Location
PO BOX 13128
BIRMINGHAM AL, 35202-3128, US
Phone (205) 715-5904
Fax (205) 715-5928
Toxanomy
Taxonomy Code 174400000X
License State
License Number
Remove 1194789172 NPI Number
 

According to our database, Southeastern Dermatology Centers NPI is 1194789172, taxonomy code is 174400000X Southeastern Dermatology Centers physically located at 817 Princeton Ave Sw, Birmingham AL, 35211-1333. NPI Number 1033115704 has the healthcare provider type.

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1194789172 NPI number is provided on an as is basis without warranty of any kind. 1194789172 is maintained by the National Plan & Provider Enumeration System. The contents of Southeastern Dermatology Centers are for informational purposes only.