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SPRINGHILL DERMATOLOGY CLINIC PC NPI 1144420936


NPI Information

NPI: 1144420936
Provider Name: SPRINGHILL DERMATOLOGY CLINIC, PC
Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
4300 OLD SHELL RD STE B
MOBILE, AL
ZIP 36608
Phone: (251) 342-7880
Get Directions

SPRINGHILL DERMATOLOGY CLINIC, PC is a clinical and laboratory dermatological immunology dermatology in Mobile, AL. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. SPRINGHILL DERMATOLOGY CLINIC, PC NPI is 1144420936. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4300 OLD SHELL RD STE B
MOBILE, AL
ZIP 36608-036
Phone: (251) 342-7880
Fax: (251) 342-8369

The provider's authorized official is Belen Fred Bodie .
The authorized official title is Owner and has the following contact phone number (251) 342-7880.

The enumeration date for this NPI number is 7/20/2007 and was last updated on 7/8/2008.


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
1207NI0002XDermatologyClinical & Laboratory Dermatological Immunology6998ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CG4447OTHERALABAMAMEDICARE RAILROAD
2C71837MEDICARE UPINALABAMA
351004869MEDICARE PINALABAMA
451004869OTHERALABAMABLUE CROSS AND BLUE SHIELD

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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