Southern Dermatology Center, PC

NPI #1336172634 in Decatur, Alabama

Provider Information

NPI Number: 1336172634
Entity Type: Organization
Organization Name: Southern Dermatology Center, PC
Primary Specialty: Dermatology
Enumeration Date: Jul 9, 2006
Last Updated: Apr 7, 2009

Practice Location

Address: 2828 HIGHWAY 31 S
Address 2: SUITE 105
City: Decatur
State: Alabama
ZIP Code: 35603-1510
Phone: (256) 351-9077

Authorized Official

Name: DR. ANGELO MANCUSO, DO
Title: OWNER
Phone: (256) 351-9077

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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