Affiliated Dermatology, Pc in Dothan - Mohs-micrographic Surgery
Affiliated Dermatology, Pc - NPI 1124008636
Affiliated Dermatology, Pc is a Mohs-micrographic Surgery in Dothan, Alabama. Affiliated Dermatology, Pc practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Affiliated Dermatology, Pc is 1124008636. The last update date is 2020-08-22.
Affiliated Dermatology, Pc's current location address is 4300 W Main St, Dothan, Alabama. You can contact this provider via phone number 3347939564 and fax number 3346718907. The mailing address for Affiliated Dermatology, Pc is 4300 W Main St, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Affiliated Dermatology, Pc |
|---|---|
| Address | 4300 W Main St, Dothan, Alabama |
| Phone Number | 3347939564 |
| Fax Number | 3346718907 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Sallas W Lois |
| Telephone Number | 3347939564 |
NPI Number Detail
| NPI Number | 1124008636 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4300 W Main St |
|---|---|
| City | Dothan |
| State | Alabama (AL) |
| Post Code | 363051054 |
| Phone Number | 3347939564 |
| Fax Number | 3346718907 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
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Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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What is the unique 10-digit identifier code issued to Affiliated Dermatology, Pc by the Centers for Medicare & Medicaid Services?
The Affiliated Dermatology, Pc has been assigned the NPI (National Provider Identifier) 1124008636 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Affiliated Dermatology, Pc is located?
The Affiliated Dermatology, Pc is situated at the following address: 4300 W Main St, Dothan, AL, 363051054.
What is Affiliated Dermatology, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Affiliated Dermatology, Pc is Mohs-micrographic Surgery, and the taxonomy code that classifies this field of practice is 207Nd0101X.
On what date did the Centers for Medicare & Medicaid Services assign the 1124008636 to Affiliated Dermatology, Pc?
The Centers for Medicare & Medicaid Services assigned the 1124008636 to Affiliated Dermatology, Pc on 2006-01-19.
When was the Affiliated Dermatology, Pc's information last updated?
The Affiliated Dermatology, Pc's information was last updated on 2020-08-22.