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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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