Southern Dermatology Center, Pc in Decatur - Dermatology
Southern Dermatology Center, Pc - NPI 1336172634
Southern Dermatology Center, Pc is a Dermatology in Decatur, Alabama. Southern Dermatology Center, Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Southern Dermatology Center, Pc is 1336172634. The last update date is 2009-04-07.
Southern Dermatology Center, Pc's current location address is 2828 Highway 31 S, Decatur, Alabama. You can contact this provider via phone number 2563519077 and fax number 2563510294. The mailing address for Southern Dermatology Center, Pc is 2828 Highway 31 S, Decatur, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southern Dermatology Center, Pc |
|---|---|
| Address | 2828 Highway 31 S, Decatur, Alabama |
| Phone Number | 2563519077 |
| Fax Number | 2563510294 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mancuso Angelo |
| Credentials | DO |
| Telephone Number | 2563519077 |
NPI Number Detail
| NPI Number | 1336172634 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2009-04-07 |
Provider Mailing Address Detail
| Address | 2828 Highway 31 S |
|---|---|
| City | Decatur |
| State | Alabama (AL) |
| Post Code | 356031510 |
| Phone Number | 2563519077 |
| Fax Number | 2563510294 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | D0196 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 51080875 | AL | BLUE CROSS ID# |
Post Comment/ Review Below
What is the unique identifier code issued to Southern Dermatology Center, Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Southern Dermatology Center, Pc has been assigned the NPI (National Provider Identifier) 1336172634. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Southern Dermatology Center, Pc is located?
The Southern Dermatology Center, Pc is situated at the following address: 2828 Highway 31 S, Decatur, AL, 356031510.
What is Southern Dermatology Center, Pc's area of expertise and its corresponding taxonomy classification?
The Southern Dermatology Center, Pc's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1336172634 to Southern Dermatology Center, Pc?
The Centers for Medicare & Medicaid Services assigned the 1336172634 to Southern Dermatology Center, Pc on 2006-07-09.
When was the information regarding Southern Dermatology Center, Pc most recently updated?
The details pertaining to the Southern Dermatology Center, Pc, including its address, specialty, and other relevant information, were last refreshed on 2009-04-07.
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