| NPI | 1417010554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MICHAEL WEBB Owner 256-765-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AL MD.17380) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-03-18 |