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1164748117
AESTHETIC DERMATOLOGY
MONTGOMERY, AL
NPI
1164748117
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Entity Type
Organization
Authorized Contact
ATHENA PHAN
Owner
334-273-1122
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2010-04-15
Last Update Date
2010-04-15
Business Address
AESTHETIC DERMATOLOGY
300 TAYLOR RD SUITE 800
MONTGOMERY, AL 36117-3521
Phone number: 334-273-1122
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Mailing Address
AESTHETIC DERMATOLOGY
2257 TAYLOR RD SUITE 200
MONTGOMERY, AL 36117-7790
Phone number:
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