Organization
ADVANCED DERMATOLOGY & SKIN CARE SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLEY H RAY M.D. (MD OWNER)
(256) 235-3660
Entity
Organization
Contact information
Practice address
1419 HAMRIC DR E, SUITE 101, OXFORD, AL 36203-1933
(256) 235-3660
(256) 235-3663
Mailing address
1419 HAMRIC DR E, SUITE 101, OXFORD, AL 36203-1933
(256) 235-3660
(256) 235-3663
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0023813
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051503704
—
AL
05
—
051556655
—
AL
01
—
51503704
BC BS ALABAMA DR RAY
AL
05
—
529908960
—
AL
Enumeration date
11/15/2006
Last updated
06/14/2012
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