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1750614301
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
MOBILE, AL
NPI
1750614301
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Entity Type
Organization
Authorized Contact
THOMAS W BENDER III
M.D.
251-631-3570
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: AL 21520)
Enumeration Date
2009-09-15
Last Update Date
2016-11-17
Business Address
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
580 PROVIDENCE PARK DR E SECOND FLOOR
MOBILE, AL 36695-4614
Phone number: 251-631-3570
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Mailing Address
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
580 PROVIDENCE PARK DR E 2ND FLOOR
MOBILE, AL 36695-4614
Phone number: 251-631-3570
Copy
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