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DEEP SOUTH DERMATOLOGY
NPI 1710054556
Specialist in Daphne, AL

Active since November 29, 2006
8573 COUNTY ROAD 64, DAPHNE, AL 36526(251) 621-2244(251) 621-7209 Get Directions Write a Review

NPPES record last updated: June 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deep South Dermatology NPPES

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

DEEP SOUTH DERMATOLOGY (NPI 1710054556) is a healthcare organization registered as a specialist in Daphne, Alabama and active in the NPI registry since November 2006. The organization lists Alan R Stanford, Owner, as its authorized official.

NPPES Registry Identity

NPI1710054556
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameDEEP SOUTH DERMATOLOGY
Location Address8573 COUNTY ROAD 64Daphne, AL 36526-8706
Mailing AddressPo Box 40Daphne, AL 36526-0040 · (251) 621-2244
Phone(251) 621-2244
Fax(251) 621-7209
Organization SubpartNo
Authorized OfficialAlan R StanfordOwner · (251) 621-2244
Enumeration DateNovember 29, 2006
Last NPPES UpdateJune 3, 2008
✔ NPI 1710054556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in AL · 00018113
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.
8573 COUNTY ROAD 64, Daphne, AL 36526
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Other Identifiers 3

Other30930AL · Al Blue Cross
Medicare UPINF91474AL
Medicare PIN000030930

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 3

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

MRS. KELLIE S. TOTH PHYSICIAN ASSISTANT
Physician Assistant
8573 COUNTY ROAD 64
DAPHNE, AL 36526
Baldwin County (251) 621-2244
KATHERINE HOPE MORGANTI M.D.
Dermatology
8573 COUNTY ROAD 64
DAPHNE, AL 36526
Baldwin County (251) 621-2244
ALAN ROY STANFORD MD
Dermatology
8573 COUNTY ROAD 64
DAPHNE, AL 36526
Baldwin County (251) 621-2244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Deep South Dermatology's NPI number?

The NPI number for Deep South Dermatology is 1710054556. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Deep South Dermatology located?

Deep South Dermatology is located at 8573 County Road 64, Daphne, AL 36526. The listed phone number is (251) 621-2244.

What is Deep South Dermatology's specialty?

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

When was this NPI record last updated?

The NPPES record for Deep South Dermatology was last updated on June 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.