Organization
DECATUR DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMANTHA WYATT MD (PHYSICIAN/PRESIDENT)
(256) 353-7775
Entity
Organization
Contact information
Practice address
620 WALNUT STREET NE, SUITE A, DECATUR, AL 35601-2456
(256) 353-7775
(256) 353-7765
Mailing address
620 WALNUT STREET NE, SUITE A, DECATUR, AL 35601-2456
(256) 353-7775
(256) 353-7765
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529924440
—
AL
Enumeration date
07/17/2007
Last updated
08/21/2025
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