Organization
DERMATOLOGY CENTER SOUTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEBASTIAN HEERSINK MD (PRESIDENT)
(334) 793-2211
Entity
Organization
Contact information
Practice address
2800 ROSS CLARK CIR, SUITE 1, DOTHAN, AL 36301-2040
(334) 793-2211
Mailing address
2800 ROSS CLARK CIR, SUITE 1, DOTHAN, AL 36301-2040
(334) 793-2211
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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