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SOUTHEASTERN SKIN CANCER & DERMATOLOGY NPI 1538433602


NPI Information

NPI: 1538433602
Provider Name: SOUTHEASTERN SKIN CANCER & DERMATOLOGY
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

Address:
124 COUNTY ROAD 3401
HALEYVILLE, AL
ZIP 35565
Phone: (859) 351-4994
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SOUTHEASTERN SKIN CANCER & DERMATOLOGY is a mohs-micrographic surgery dermatology in Haleyville, 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. SOUTHEASTERN SKIN CANCER & DERMATOLOGY NPI is 1538433602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

124 COUNTY ROAD 3401
HALEYVILLE, AL
ZIP 35565-959
Phone: (859) 351-4994

The provider's authorized official is Albert E Rivera .
The authorized official title is President and has the following contact phone number (859) 351-4994.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 3/9/2012.


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
1207ND0101XDermatologyMOHS-Micrographic SurgeryDO987ALABAMAYes

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: 4/28/2024

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