| NPI | 1831296888 |
|---|---|
| Doing Business As | TOTAL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHANDRA BELLE RODIVICH Credentialing Secretary 205-380-6117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-01-22 |