| NPI | 1275198913 |
|---|---|
| Doing Business As | RENEW FAMILY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | PAM MASON Manager 256-867-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2024-01-11 |