Organization
AFFILIATED DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS W SALLAS (ADMINISTRATOR)
(334) 793-9564
Entity
Organization
Contact information
Practice address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Mailing address
4300 W MAIN ST, SUITE 102, DOTHAN, AL 36305-1054
(334) 793-9564
(334) 671-8907
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Enumeration date
01/19/2006
Last updated
09/11/2025
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