Organization
BHC-MARTIN DERMATOLOGY AND SKIN WELLNESS
Active
Parent organization
BAPTIST HEALTH CENTERS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
BAPTIST HEALTH CENTERS INC
Authorized official
GEORGE SCOTT FENN (PRESIDENT)
(205) 715-5415
Entity
Organization
Contact information
Practice address
5295 PRESERVE PKWY, SUITE 260, HOOVER, AL 35244-4701
(205) 682-8022
Mailing address
3201 4TH AVE S, BIRMINGHAM, AL 35222-1723
(205) 715-5943
(205) 715-5932
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529931870
—
AL
01
—
DF4941
RAILROAD MEDICARE
—
Enumeration date
01/15/2007
Last updated
12/15/2011
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