Southeastern Dermatology Centers

LBN: Southeastern Dermatology Centers
Southeastern Dermatology Centers is an health care organization with primary practice located at 817 Princeton Ave Sw Pob Ii, Suite 302, Birmingham AL 35211-1333. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southeastern Dermatology Centers can be contacted via phone (205) 781-6995, or through Fenn, G. Scott via phone (205) 715-5415.

Contact Information

Primary practice address
817 Princeton Ave Sw Pob Ii, Suite 302 Birmingham AL 35211-1333
Phone: (205) 781-6995
Fax: (205) 781-8783
Website:
Map and Directions
Authorized official contact:
Name: Fenn, G. Scott
Phone: (205) 715-5415

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1194789172
LBN Legal business name Southeastern Dermatology Centers
DBA Doing business as
Authorized official Fenn, G. Scott
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 14th, 2006
Last updated Mar 30th, 2009 - about 15 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 1194789172 NPPES
Alabama MEDICAID 529904550

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