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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194789172 | NPPES |
Alabama | MEDICAID | 529904550 |
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