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Organization

DERMATOLOGY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY PYNES MD (MD)
(334) 793-9222
Entity
Organization

Contact information

Practice address
1410 BRICKYARD RD, CHIPLEY, FL 32428-5966
(334) 793-9222
Mailing address
2431 W MAIN ST, SUITE 501, DOTHAN, AL 36301-1217
(334) 793-9222

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
05/11/2010
Last updated
06/07/2010
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