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Dermatology Associates Of Montgomery, Llc
Specialist in Montgomery, Alabama
NPI 1891064937

Dermatology Associates Of Montgomery, Llc is a Specialist based in Montgomery, AL. Dermatology Associates Of Montgomery, Llc practices in Montgomery, AL. The NPI Number for Dermatology Associates Of Montgomery, Llc is 1891064937 and holds a License No. 10825 (Alabama).

The current practice location address for Dermatology Associates Of Montgomery, Llc is 286 Mitylene Park Dr, Montgomery, AL and can be reached out via phone at 334-396-1555 and via fax at 334-396-9833.

Location: 286 Mitylene Park Dr, Montgomery, AL, 36124-1627
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891064937
Provider Name
Dermatology Associates Of Montgomery, Llc
Credential
Provider Entity Type
Organization
Address
286 Mitylene Park Dr, Montgomery, AL, 36124-1627
Phone Number
334-396-1555
Fax Number
334-396-9833
Provider Enumeration Date
12/19/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
528501290 05 AL
CM4358 01 AL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
286 Mitylene Park Dr
City
Montgomery
State
Alabama
Zip
36117-3548
Phone Number
334-396-1555
Fax Number
334-396-9833
person
Provider Business Mailing Address Details
Address
286 Mitylene Park Dr
City
Montgomery
State
Alabama
Zip
36117-3548
Phone Number
334-396-1555
Fax Number
334-396-9833
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
10825 (Alabama)
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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