Organization
TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, PC
Active
Other names
Total Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA BELLE RODIVICH (CREDENTIALING SECRETARY)
(205) 380-6117
Entity
Organization
Contact information
Practice address
1927 1ST AVE N STE 200, BIRMINGHAM, AL 35203-4050
(059) 330-9872
(205) 930-1758
Mailing address
2100 16TH AVE S, SUITE 202, BIRMINGHAM, AL 35205-5021
(205) 933-0987
(205) 930-1758
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
01/22/2024
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