Olive Branch Dermatology LLC

NPI #1750197794 in Hoover, Alabama

Provider Information

NPI Number: 1750197794
Entity Type: Organization
Organization Name: Olive Branch Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Dec 4, 2024
Last Updated: Jan 30, 2025

Practice Location

Address: 4721 CHACE CIR
City: Hoover
State: Alabama
ZIP Code: 35244-3700
Phone: (205) 266-9011

Authorized Official

Name: DR. AMENA RAJA ALKESWANI, MD
Title: PRACTICE OWNER
Phone: (727) 504-5883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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