| NPI | 1386044543 |
|---|---|
| Doing Business As | SIA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ANGELA BOOKOUT President 334-699-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2021-09-10 |