Jasper Dermatology, LLC

NPI #1801622642 in Jasper, Alabama

Provider Information

NPI Number: 1801622642
Entity Type: Organization
Organization Name: Jasper Dermatology, LLC
Primary Specialty: Dermatology
Enumeration Date: Sep 9, 2024
Last Updated: Sep 9, 2024

Practice Location

Address: 87 19TH ST W STE 200
City: Jasper
State: Alabama
ZIP Code: 35501-5430
Phone: (205) 282-1802

Authorized Official

Name: DANA MCCULLAR, CRNP
Title: CRNP/OWNER/CEO
Phone: (205) 282-1802

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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