| NPI | 1477708642 |
|---|---|
| Doing Business As | SURGICAL DERMATOLOGY GROUP |
| Entity Type | Organization |
| Authorized Contact | KAREN LAKE Administration 205-977-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AL 20579) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: AL 20579) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: AL 20579) | |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2024-02-26 |