Northeast Alabama Dermatology LLC

NPI #1174019541 in Huntsville, Alabama

Provider Information

NPI Number: 1174019541
Entity Type: Organization
Organization Name: Northeast Alabama Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Jul 9, 2018
Last Updated: Jul 9, 2018

Practice Location

Address: 201 SIVLEY RD SW STE 410
City: Huntsville
State: Alabama
ZIP Code: 35801-5146
Phone: (256) 536-3738

Authorized Official

Name: MELINDA BIRCHMORE MUSICK, MD
Title: CEO
Phone: (256) 536-3738

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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