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AQUA DERMATOLOGY OF ALABAMA PC NPI 1477708642


NPI Information

NPI: 1477708642
Provider Name: AQUA DERMATOLOGY OF ALABAMA PC

Doing Business As: SURGICAL DERMATOLOGY GROUP

Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
1940 STONEGATE DR STE 130
VESTAVIA HLS, AL
ZIP 35242
Phone: (205) 977-9876
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AQUA DERMATOLOGY OF ALABAMA PC is a mohs-micrographic surgery dermatology in Vestavia Hls, AL. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. AQUA DERMATOLOGY OF ALABAMA PC NPI is 1477708642. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Surgical Dermatology Group.

The provider's business location address is:

1940 STONEGATE DR STE 130
VESTAVIA HLS, AL
ZIP 35242
Phone: (205) 977-9876
Fax: (205) 977-9976

The provider's authorized official is Karen Lake .
The authorized official title is Administration and has the following contact phone number (205) 977-9786.

The enumeration date for this NPI number is 12/1/2008 and was last updated on 2/26/2024.


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
1207N00000XDermatology20579ALABAMANo
2207NS0135XDermatologyProcedural Dermatology20579ALABAMANo
3207ND0101XDermatologyMOHS-Micrographic Surgery20579ALABAMAYes

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: 5/5/2024

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