Organization
GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC
Active
Other names
Advanced Dermatology & Skin Care Centre
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W BENDER III MD (PHYSICIAN/AUTHORIZED OFFICIAL)
(251) 631-3570
Entity
Organization
Contact information
Practice address
580 PROVIDENCE PARK DR E, MOBILE, AL 36695-4614
(251) 631-3570
(251) 631-3572
Mailing address
580 PROVIDENCE PARK DR E, MOBILE, AL 36695-4614
(251) 631-3570
(251) 631-3572
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
21520
AL
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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