Gulf Coast Dermatology & Skin Care Centre Pllc

NPI #1750614301 in Mobile, Alabama

Provider Information

NPI Number: 1750614301
Entity Type: Organization
Organization Name: Gulf Coast Dermatology & Skin Care Centre Pllc
Primary Specialty: Dermatology
Enumeration Date: Sep 15, 2009
Last Updated: Nov 17, 2016

Practice Location

Address: 580 PROVIDENCE PARK DR E
Address 2: SECOND FLOOR
City: Mobile
State: Alabama
ZIP Code: 36695-4614
Phone: (251) 631-3570

Authorized Official

Name: DR. THOMAS W BENDER III, M.D.
Title: M.D.
Phone: (251) 631-3570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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