Aqua Dermatology of Alabama PC
NPI #1477708642 in Vestavia Hls, Alabama
Provider Information
- NPI Number
- 1477708642
- Entity Type
- Organization
- Organization Name
- Aqua Dermatology of Alabama PC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Dec 1, 2008
- Last Updated
- Jun 25, 2024
Practice Location
- Address
- 1940 STONEGATE DR STE 130
- City
- Vestavia Hls
- State
- Alabama
- ZIP Code
- 35242
- Phone
- (205) 977-9876
Authorized Official
- Name
- KAREN LAKE
- Title
- ADMINISTRATION
- Phone
- (205) 977-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
| Dermatology - Procedural Dermatology — Procedural Dermatology |
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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