| NPI | 1447003579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELSEY REAL KENNEDY President/CEO 205-514-1664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-04-09 |
| Last Update Date | 2024-04-09 |