Mallette Dermatology

NPI #1265636955 in Athens, Alabama

Provider Information

NPI Number: 1265636955
Entity Type: Organization
Organization Name: Mallette Dermatology
Primary Specialty: Specialist
Enumeration Date: Jun 14, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 707 HWY 31 S
Address 2: SUITE F
City: Athens
State: Alabama
ZIP Code: 35611
Phone: (256) 771-1995

Authorized Official

Name: STEPHEN G MALLETTE, DO
Title: OWNER PHYSICIAN
Phone: (256) 771-1995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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