Dermatology Associates of Dothan, LLC

NPI #1538465323 in Enterprise, Alabama

Provider Information

NPI Number: 1538465323
Entity Type: Organization
Organization Name: Dermatology Associates of Dothan, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: DERMATOLOGY ASSOCIATES OF DOTHAN
Primary Specialty: Specialist
Enumeration Date: Jan 27, 2011
Last Updated: Jan 27, 2011

Practice Location

Address: 101 PROFESSIONAL LN
City: Enterprise
State: Alabama
ZIP Code: 36330-2085
Phone: (334) 347-3404

Authorized Official

Name: DR. TERRY L PYNES, MD
Title: OWNER
Phone: (334) 793-9222

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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