Craig Dean Omohundro in Dothan - Mohs-micrographic Surgery
Craig Dean Omohundro - NPI 1457346850
Craig Dean Omohundro is a Mohs-micrographic Surgery in Dothan, Alabama. Craig Dean Omohundro practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Craig Dean Omohundro is 1457346850. The last update date is 2015-10-22.
Craig Dean Omohundro'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 Craig Dean Omohundro is 4300 W Main St, Dothan, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Dean Omohundro |
|---|---|
| Address | 4300 W Main St, Dothan, Alabama |
| Phone Number | 3347939564 |
| Fax Number | 3346718907 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1457346850 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2015-10-22 |
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 |
| Licence No | 20605 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 255070900 | FL | -- | |
| 00749185A | GA | -- | |
| 32376 | AL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Craig Dean Omohundro by the Centers for Medicare & Medicaid Services?
The Craig Dean Omohundro has been assigned the NPI (National Provider Identifier) 1457346850. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Craig Dean Omohundro's facilities are situated?
The facilities of Craig Dean Omohundro are physically located at the following address: 4300 W Main St, Dothan, AL, 363051054.
What is Craig Dean Omohundro's specialized field of practice, and what is the corresponding taxonomy classification code?
The Craig Dean Omohundro's area of specialization is Mohs-micrographic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Nd0101X.
On what date was the 1457346850 assigned to Craig Dean Omohundro?
The Craig Dean Omohundro was issued its 1457346850 on 2005-09-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Craig Dean Omohundro receive the assignment of its 1457346850 from the Centers for Medicare & Medicaid Services?
The Craig Dean Omohundro was issued its 1457346850 by the Centers for Medicare & Medicaid Services on 2005-09-13.