Organization
RIVER REGION DERMATOLOGY AND LASER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PORCIA LOVE MD (SOLE MEMBER OWNER)
(334) 416-8996
Entity
Organization
Contact information
Practice address
2060 BERRYHILL RD, MONTGOMERY, AL 36117-8965
(334) 416-8996
(334) 416-8997
Mailing address
1254 LAUREL BROOK LN, MONTGOMERY, AL 36117-8965
(334) 416-8996
(334) 416-8997
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/20/2016
Last updated
07/28/2016
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