Mallette Dermatology in Athens - Specialist
Mallette Dermatology - NPI 1265636955
Mallette Dermatology is a Specialist in Athens, Alabama. Mallette Dermatology practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mallette Dermatology is 1265636955. The last update date is 2008-04-20.
Mallette Dermatology's current location address is 707 Hwy 31 S, Athens, Alabama. You can contact this provider via phone number 2567711995 and fax number 2567711965. The mailing address for Mallette Dermatology is 707 Hwy 31 S, Athens, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Mallette Dermatology |
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Address | 707 Hwy 31 S, Athens, Alabama |
Phone Number | 2567711995 |
Fax Number | 2567711965 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER PHYS |
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Authorized Official Name | Mallette G Stephen |
Credentials | DO |
Telephone Number | 2567711995 |
NPI Number Detail
NPI Number | 1265636955 |
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Provider Enumeration Date | 2007-06-14 |
Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
Address | 707 Hwy 31 S |
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City | Athens |
State | Alabama (AL) |
Post Code | 35611 |
Phone Number | 2567711995 |
Fax Number | 2567711965 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Licence No | DO841 |
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. |
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What is the unique provider identifier assigned to Mallette Dermatology?
The Mallette Dermatology has been issued the NPI (National Provider Identifier) 1265636955 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mallette Dermatology?
The Mallette Dermatology is physically situated at 707 Hwy 31 S, in the city of Athens, state of AL, with the postal code 35611.
What is Mallette Dermatology's area of expertise and its corresponding taxonomy classification?
The Mallette Dermatology's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265636955 to Mallette Dermatology?
The Centers for Medicare & Medicaid Services originally issued the 1265636955 to Mallette Dermatology on 2007-06-14.
When was the Mallette Dermatology's information last updated?
The Mallette Dermatology's information was last updated on 2008-04-20.