Organization
CULLMAN DERMATOLOGY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN M SKINNER M.D. (PRESIDENT)
(256) 739-9711
Entity
Organization
Contact information
Practice address
1205 COUNTY ROAD 1466, CULLMAN, AL 35058-0795
(256) 739-9711
(256) 739-9737
Mailing address
1205 COUNTY ROAD 1466, CULLMAN, AL 35058-0795
(256) 739-9711
(256) 739-9737
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
18046
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529700230
—
AL
01
—
CC9291
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
05/13/2008
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