David Allen South in Freedom - Dermatology

David Allen South - NPI 1053470468

David Allen South is a Dermatology in Freedom, California. David Allen South practices all healthcare services and medical treatments related to Dermatology. The NPI Number for David Allen South is 1053470468. The last update date is 2009-06-05.

David Allen South's current location address is 204 Green Valley Road, Freedom, California. You can contact this provider via phone number 8317282005 and fax number 8317283310. The mailing address for David Allen South is 204 Green Valley Road, Freedom, California. To know further, please read the information below!

Provider Profile Detail

Provider Name David Allen South
Address 204 Green Valley Road, Freedom, California
Phone Number 8317282005
Fax Number 8317283310
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1053470468
Provider Enumeration Date 2006-12-08
Last Updated Date 2009-06-05

Provider Mailing Address Detail

Address 204 Green Valley Road
City Freedom
State California (CA)
Post Code 95019
Phone Number 8317282005
Fax Number 8317283310

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No G30108
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G301080 CA --

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FAQs about David Allen South

What is the unique identifier code issued to David Allen South by the Centers for Medicare & Medicaid Services?

The David Allen South has been assigned the NPI (National Provider Identifier) 1053470468. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where David Allen South is physically located?

The David Allen South is situated at the following address: 204 Green Valley Road, Freedom, CA 95019.

What is David Allen South's area of expertise and its corresponding taxonomy classification?

The David Allen South's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.

When did the David Allen South receive its 1053470468?

The David Allen South was issued its 1053470468 on 2006-12-08, which is the date when the organization was assigned this unique identifier.

As of what date were the David Allen South's details last updated?

The information pertaining to the David Allen South, including its address, specialty, and other details, was most recently updated on 2009-06-05.

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