Deep South Dermatology

NPI #1710054556 in Daphne, Alabama

Provider Information

NPI Number: 1710054556
Entity Type: Organization
Organization Name: Deep South Dermatology
Primary Specialty: Specialist
Enumeration Date: Nov 29, 2006
Last Updated: Jun 3, 2008

Practice Location

Address: 8573 COUNTY ROAD 64
City: Daphne
State: Alabama
ZIP Code: 36526-8706
Phone: (251) 621-2244

Authorized Official

Name: DR. ALAN R STANFORD, MD
Title: OWNER
Phone: (251) 621-2244

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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