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1194789172
SOUTHEASTERN DERMATOLOGY CENTERS
BIRMINGHAM, AL
NPI
1194789172
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Entity Type
Organization
Authorized Contact
G. SCOTT FENN
Chief Integration Officer
205-715-5415
Organization Subpart ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2006-04-14
Last Update Date
2009-03-30
Business Address
SOUTHEASTERN DERMATOLOGY CENTERS
817 PRINCETON AVE SW POB II, SUITE 302
BIRMINGHAM, AL 35211-1333
Phone number: 205-781-6995
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Mailing Address
SOUTHEASTERN DERMATOLOGY CENTERS
PO BOX 13128
BIRMINGHAM, AL 35202-3128
Phone number: 205-715-5904
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