| NPI | 1134700131 |
|---|---|
| Doing Business As | SOUTHERN SKIES DERMATOLOGY AND SURGERY |
| Entity Type | Organization |
| Authorized Contact | MARIO KUMAR MARUTHUR Physician Owner 205-900-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2024-01-09 |