| NPI | 1538478029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON FOSTER GARDEPE Owner/Physician 256-536-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AL 4558) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2015-04-27 |