Organization
ALEXANDER CITY DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN LYNN MACKEY M.D. (PRESIDENT)
(256) 409-2159
Entity
Organization
Contact information
Practice address
125 ALISON DR, SUITE 8, ALEXANDER CITY, AL 35010-4469
(256) 409-2159
(334) 501-7031
Mailing address
125 ALISON DR, SUITE 8, ALEXANDER CITY, AL 35010-4469
(256) 409-2159
(334) 501-7031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14427
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000038661
—
AL
01
—
0005960521
AETNA
AL
01
—
0731200138
CIGNA
AL
01
—
51038661
BLUE CROSS
AL
05
—
529703210
—
AL
Enumeration date
11/08/2007
Last updated
04/20/2008
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