Deep South Dermatology

LBN: Deep South Dermatology
Deep South Dermatology is an health care organization with primary practice located at 8573 County Road 64 , Daphne AL 36526-8706. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Deep South Dermatology can be contacted via phone (251) 621-2244, or through Stanford, Alan R via phone (251) 621-2244.

Contact Information

Primary practice address
8573 County Road 64 Daphne AL 36526-8706
Phone: (251) 621-2244
Fax: (251) 621-7209
Website:
Map and Directions
Authorized official contact:
Name: Stanford, Alan R Doctor of Medicine (MD)
Phone: (251) 621-2244

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 00018113 Alabama

Profile Details

NPI number 1710054556
LBN Legal business name Deep South Dermatology
DBA Doing business as
Authorized official Stanford, Alan R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated Jun 3rd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710054556 NPPES
Alabama Other 30930 AL BLUE CROSS

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