Bay Shore Dermatology, PC

NPI #1316011398 in Fairhope, Alabama

Provider Information

NPI Number: 1316011398
Entity Type: Organization
Organization Name: Bay Shore Dermatology, PC
Primary Specialty: Dermatology
Enumeration Date: Nov 20, 2006
Last Updated: Oct 26, 2023

Practice Location

Address: 7550 ASSUNTA CT
City: Fairhope
State: Alabama
ZIP Code: 36532-3069
Phone: (251) 928-4944

Authorized Official

Name: DR. ROBERT CLARK, MD
Title: PRESIDENT
Phone: (251) 928-4944

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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