Dermatology Center South PC

NPI #1003213273 in Dothan, Alabama

Provider Information

NPI Number: 1003213273
Entity Type: Organization
Organization Name: Dermatology Center South PC
Primary Specialty: Dermatology
Enumeration Date: Dec 3, 2014
Last Updated: Dec 3, 2014

Practice Location

Address: 2800 ROSS CLARK CIR
Address 2: SUITE 1
City: Dothan
State: Alabama
ZIP Code: 36301-2040
Phone: (334) 793-2211

Authorized Official

Name: DR. SEBASTIAN HEERSINK, MD
Title: PRESIDENT
Phone: (334) 793-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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