Organization
SOUTHEASTERN SKIN CANCER & DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERT E RIVERA D.O. (PRESIDENT)
(859) 351-4994
Entity
Organization
Contact information
Practice address
104 J E BRISCOE WAY, MADISON, AL 35758-4822
(256) 705-3000
(256) 705-3105
Mailing address
124 COUNTY ROAD 3401, HALEYVILLE, AL 35565-6959
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
DO987
AL
Other
Enumeration date
03/06/2012
Last updated
08/21/2024
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