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AFFILIATED DERMATOLOGY PC NPI 1124008636


NPI Information

NPI: 1124008636
Provider Name: AFFILIATED DERMATOLOGY, PC
Classification: Dermatology - 207N00000X
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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AFFILIATED DERMATOLOGY, PC is a dermatology in Dothan, AL. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. 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 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyYes
2207ND0101XDermatologyMOHS-Micrographic SurgeryX
3207NS0135XDermatologyProcedural DermatologyX

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: 11/14/2023

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