Organization
DCLH, INC.
Active
Other names
Skin Wellness Center of Alabama
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY L HARTMAN M.D. (PRESIDENT)
(205) 871-7332
Entity
Organization
Contact information
Practice address
2908 CENTRAL AVE, BIRMINGHAM, AL 35209-2579
(205) 871-7332
(205) 871-7336
Mailing address
2908 CENTRAL AVE, BIRMINGHAM, AL 35209-2579
(205) 871-7332
(205) 871-7336
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD.025680
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD.025680
MEDICAL LICENSE
AL
Enumeration date
07/29/2009
Last updated
01/20/2010
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