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1336172634
SOUTHERN DERMATOLOGY CENTER, PC
DECATUR, AL
NPI
1336172634
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Entity Type
Organization
Authorized Contact
ANGELO MANCUSO
Owner
256-351-9077
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: AL D0196)
Enumeration Date
2006-07-09
Last Update Date
2009-04-07
Business Address
SOUTHERN DERMATOLOGY CENTER, PC
2828 HIGHWAY 31 S SUITE 105
DECATUR, AL 35603-1510
Phone number: 256-351-9077
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Mailing Address
SOUTHERN DERMATOLOGY CENTER, PC
2828 HIGHWAY 31 S SUITE 105
DECATUR, AL 35603-1510
Phone number: 256-351-9077
Copy
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