Organization
SOUTHERN INSTITUTE OF AESTHETICS, PC
Active
Other names
SIA Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA L BOOKOUT DO (PRESIDENT/DERMATOLOGIST)
(334) 699-7546
Entity
Organization
Contact information
Practice address
1733 W MAIN ST, SUITE 500, DOTHAN, AL 36301
(334) 699-7546
(334) 699-7548
Mailing address
101 CREEKSIDE CROSSING STE 1700, PMB 161, BRENTWOOD, TN 37027-5054
(334) 699-7546
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
08/25/2014
Last updated
10/08/2025
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