Southeastern Dermatology Centers

NPI #1194789172 in Birmingham, Alabama

Provider Information

NPI Number: 1194789172
Entity Type: Organization
Organization Name: Southeastern Dermatology Centers
Subpart: Yes (part of a larger organization)
Parent Organization: BAPTIST HEALTH CENTERS, INC.
Primary Specialty: Specialist
Enumeration Date: Apr 14, 2006
Last Updated: Mar 30, 2009

Practice Location

Address: 817 PRINCETON AVE SW
Address 2: POB II, SUITE 302
City: Birmingham
State: Alabama
ZIP Code: 35211-1333
Phone: (205) 781-6995

Authorized Official

Name: G. SCOTT FENN
Title: CHIEF INTEGRATION OFFICER
Phone: (205) 715-5415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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