Organization
MALLETTE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G MALLETTE DO (OWNER PHYSICIAN)
(256) 771-1995
Entity
Organization
Contact information
Practice address
707 HWY 31 S, SUITE F, ATHENS, AL 35611
(256) 771-1995
(256) 771-1965
Mailing address
707 HWY 31 S, SUITE F, ATHENS, AL 35611
(256) 771-1995
(256) 771-1965
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DO841
AL
Other
Enumeration date
06/14/2007
Last updated
04/20/2008
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