AFFILIATED DERMATOLOGY PC NPI 1124008636

NPI Information

  • NPI: 1124008636
  • Provider Name: AFFILIATED DERMATOLOGY, PC
  • Classification: Dermatology - 207NS0135X
  • Specialization: Procedural Dermatology
  • Entity Type: Organization
  • CLIA Number: 01D0304727
  • Address: 4300 W MAIN ST
    SUITE 102
    DOTHAN, AL
    ZIP 36305
  • Phone: (334) 793-9564

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NPI Details

AFFILIATED DERMATOLOGY, PC is a procedural dermatology dermatology in Dothan, AL. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). AFFILIATED DERMATOLOGY, PC NPI is 1124008636. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4300 W MAIN ST
SUITE 102
DOTHAN, AL
ZIP 36305-054
Phone: (334) 793-9564
Fax: (334) 671-8907

The provider's authorized official is Lois W Sallas .
The authorized official title is Administrator and has the following contact phone number (334) 793-9564.

The CLIA number assigned to this NPI record is 01D0304727 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207N00000XDermatologyNo
2207ND0101XDermatologyMOHS-Micrographic SurgeryNo
3207NS0135XDermatologyProcedural DermatologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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