Coosa River Dermatology, Inc

LBN: Coosa River Dermatology, Inc
Coosa River Dermatology, Inc is an health care organization with primary practice located at 1242 Martin St S Ste B , Pell City AL 35128-2310. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as the primary health care specialty. Coosa River Dermatology, Inc can be contacted via phone (205) 514-1664, or through Kennedy, Kelsey Real via phone (205) 514-1664.

Contact Information

Primary practice address
1242 Martin St S Ste B Pell City AL 35128-2310
Phone: (205) 514-1664
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Kelsey Real Doctor of Medicine (MD)
Phone: (205) 514-1664

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1447003579
LBN Legal business name Coosa River Dermatology, Inc
DBA Doing business as
Authorized official Kennedy, Kelsey Real Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2024
Last updated Apr 9th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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