DERMATOLOGY ASSOCIATES OF DOTHAN - NPI 1538465323

Q: What is Dermatology Associates Of Dothan, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

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About Dermatology Associates Of Dothan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERMATOLOGY ASSOCIATES OF DOTHAN (NPI 1538465323) is a healthcare organization registered as a specialist in Enterprise, Alabama and active in the NPI registry since January 2011. The organization lists Terry L Pynes, Owner, as its authorized official.

NPPES Registry Identity

NPI1538465323

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameDERMATOLOGY ASSOCIATES OF DOTHAN, LLC

Location Address101 PROFESSIONAL LNEnterprise, AL 36330-2085

Mailing Address2431 W Main St Ste 501Dothan, AL 36301-1274 · (334) 793-9222 · Fax (334) 671-0322

Phone(334) 347-3404

Fax(334) 671-0322

Organization SubpartYesParent: Dermatology Associates Of Dothan

Authorized OfficialTerry L PynesOwner · (334) 793-9222

Enumeration DateJanuary 27, 2011

✔ NPI 1538465323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in AL · 8834

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

101 PROFESSIONAL LN, Enterprise, AL 36330

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Other Names 1

Other NameDermatology Associates Of Dothan

Other Identifiers 4

Medicare PIN510G700078AL

Other51007184AL · Bcbs Of Alabama

Medicare UPINC71888AL

Medicaid529932951AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JULIE FRANCES HUGHES C.P.N.P.

Nurse Practitioner (Pediatrics)