Organization
BAY SHORE DERMATOLOGY, PC
Active
Other names
Bay Shore Dermatology & Laser Surgery Center, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT CLARK MD (PRESIDENT)
(251) 928-4944
Entity
Organization
Contact information
Practice address
7550 ASSUNTA CT, FAIRHOPE, AL 36532-3069
(251) 928-4944
(251) 928-2086
Mailing address
7550 ASSUNTA CT, FAIRHOPE, AL 36532-3069
(251) 928-4944
(251) 928-2086
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
10/26/2023
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