Organization
SSD, LLC
Active
Other names
Southern Skies Dermatology and Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO KUMAR MARUTHUR MD (PHYSICIAN OWNER)
(205) 900-2000
Entity
Organization
Contact information
Practice address
48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL 35235-3473
(205) 838-1811
(205) 838-4525
Mailing address
48 MEDICAL PARK DR E STE 458, BIRMINGHAM, AL 35235-3473
(205) 838-1811
(205) 838-4525
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
04/20/2021
Last updated
01/09/2024
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