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Organization

DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.

Active
Parent organization
DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.
Organization subpart
Yes

Provider details

NPI number
Legal business name
DERMATOLOGY ASSOCIATES OF BAY COUNTY, P.A.
Authorized official
ALISHA JOHNSON (PRACTICE MANAGER)
(850) 769-1668
Entity
Organization

Contact information

Practice address
1733 W MAIN ST STE 500, DOTHAN, AL 36301-1321
(850) 769-7546
(850) 785-2123
Mailing address
1900 HARRISON AVE, PANAMA CITY, FL 32405-4542
(850) 769-1668
(850) 785-2123

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000164600
FL
01
CB7612
RR MEDICARE
FL
Enumeration date
03/23/2011
Last updated
10/06/2025
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