Organization
JASPER DERMATOLOGY, LLC
Active
Other names
Jasper Dermatology at Rastore
Organization subpart
No
Provider details
NPI number
Authorized official
DANA MCCULLAR CRNP (CRNP/OWNER/CEO)
(205) 282-1802
Entity
Organization
Contact information
Practice address
87 19TH ST W STE 200, JASPER, AL 35501-5430
(205) 282-1802
Mailing address
PO BOX 290, JASPER, AL 35502-0290
(205) 282-1802
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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