Organization · Type 2 NPI

Great State 2019 Inc

Dermatology Physician · Tuscaloosa, AL

NPI number 1124757588 Active

Practice location

4960 Rice Mine Rd NE Ste 30A
Tuscaloosa, AL 35406-3136

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000XNone listed

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1124757588

Great State 2019 Inc's National Provider Identifier is 1124757588, issued on Jun 9, 2022. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jun 9, 2022.