Organization
SOUTHEASTERN DERMATOLOGY CENTERS
Active
Parent organization
BAPTIST HEALTH CENTERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST HEALTH CENTERS, INC.
Authorized official
G. SCOTT FENN (CHIEF INTEGRATION OFFICER)
(205) 715-5415
Entity
Organization
Contact information
Practice address
817 PRINCETON AVE SW, POB II, SUITE 302, BIRMINGHAM, AL 35211-1333
(205) 781-6995
(205) 781-8783
Mailing address
PO BOX 13128, BIRMINGHAM, AL 35202-3128
(205) 715-5904
(205) 715-5928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529904550
—
AL
Enumeration date
04/14/2006
Last updated
03/30/2009
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