Organization
SUN DERMATOLOGY LLC
Active
Organization
SUN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD TERRY PYNES MD (AUTHORIZED MEMBER)
(334) 791-5423
Entity
Organization
Contact information
Practice address
2101 JENKS AVE, PANAMA CITY, FL 32405-4511
(334) 791-5423
Mailing address
2101 JENKS AVE, PANAMA CITY, FL 32405-4511
(334) 791-5423
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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