Renew Family Dermatology LLC

NPI #1275198913 in Fort Payne, Alabama

Provider Information

NPI Number: 1275198913
Entity Type: Organization
Organization Name: Renew Family Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: May 8, 2019
Last Updated: Jun 26, 2024

Practice Location

Address: 212 AIRPORT ROAD W
City: Fort Payne
State: Alabama
ZIP Code: 35968
Phone: (256) 979-1250

Authorized Official

Name: PAM MASON
Title: MANAGER
Phone: (256) 867-0851

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Dermatology	207N00000X	Primary

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