Organization
ASSOCIATES IN DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY NEAL MARTIN DO (PRESIDENT)
(205) 836-1212
Entity
Organization
Contact information
Practice address
46 MEDICAL PARK DR E, SUITE 405, BIRMINGHAM, AL 35235-3401
(205) 836-1212
(205) 836-1313
Mailing address
46 MEDICAL PARK DR E, SUITE 405, BIRMINGHAM, AL 35235-3401
(205) 836-1212
(205) 836-1313
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
DO875
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083677926
MEDICARE
AL
01
—
G-73580
BC/BS OF ALABAMA
AL
Enumeration date
10/01/2008
Last updated
09/12/2016
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