Shelby Dermatology, Pc in Alabaster - Specialist
Shelby Dermatology, Pc - NPI 1740375856
Shelby Dermatology, Pc is a Specialist in Alabaster, Alabama. Shelby Dermatology, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shelby Dermatology, Pc is 1740375856. The last update date is 2020-08-22.
Shelby Dermatology, Pc's current location address is 1022 1st Street North, Alabaster, Alabama. You can contact this provider via phone number 2056219500. The mailing address for Shelby Dermatology, Pc is 1022 1st Street North, Alabaster, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shelby Dermatology, Pc |
|---|---|
| Address | 1022 1st Street North, Alabaster, Alabama |
| Phone Number | 2056219500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Henderson Land Robert |
| Credentials | M.D. |
| Telephone Number | 2056219500 |
NPI Number Detail
| NPI Number | 1740375856 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1022 1st Street North |
|---|---|
| City | Alabaster |
| State | Alabama (AL) |
| Post Code | 35007 |
| Phone Number | 2056219500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25681 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51532549 | AL | BCBS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shelby Dermatology, Pc?
The Shelby Dermatology, Pc has been issued the NPI (National Provider Identifier) 1740375856 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Shelby Dermatology, Pc?
The Shelby Dermatology, Pc is situated at 1022 1St Street North, in the city of Alabaster, state of AL, with the zip code 35007.
What is Shelby Dermatology, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Shelby Dermatology, Pc is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did Shelby Dermatology, Pc receive its 1740375856 assignment from the Centers for Medicare & Medicaid Services?
The Shelby Dermatology, Pc was assigned its 1740375856 on 2006-10-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Shelby Dermatology, Pc last refreshed?
The information related to the Shelby Dermatology, Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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