Gulf Coast Dermatology & Skin Care Centre Pllc

NPI #1336523265 in Mobile, Alabama

Provider Information

NPI Number: 1336523265
Entity Type: Organization
Organization Name: Gulf Coast Dermatology & Skin Care Centre Pllc
Primary Specialty: Dermatology
Enumeration Date: Jul 9, 2015
Last Updated: Jul 9, 2015

Practice Location

Address: 580 PROVIDENCE PARK DR E
City: Mobile
State: Alabama
ZIP Code: 36695-4614
Phone: (251) 631-3570

Authorized Official

Name: THOMAS W BENDER III, MD
Title: PHYSICIAN/AUTHORIZED OFFICIAL
Phone: (251) 631-3570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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