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MALLETTE DERMATOLOGY NPI 1265636955


NPI Information

NPI: 1265636955
Provider Name: MALLETTE DERMATOLOGY
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
707 HWY 31 S
SUITE F
ATHENS, AL
ZIP 35611
Phone: (256) 771-1995
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MALLETTE DERMATOLOGY is a specialist in Athens, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MALLETTE DERMATOLOGY NPI is 1265636955. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

707 HWY 31 S
SUITE F
ATHENS, AL
ZIP 35611
Phone: (256) 771-1995
Fax: (256) 771-1965

The provider's authorized official is Stephen G Mallette .
The authorized official title is Owner Physician and has the following contact phone number (256) 771-1995.

The enumeration date for this NPI number is 6/14/2007 and was last updated on 4/20/2008.


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
1174400000XSpecialistDO841ALABAMAYes

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
1I12734MEDICARE UPINALABAMA
2=========OTHERALABAMATID

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.