Aesthetic Dermatology

LBN: Aesthetic Dermatology
Aesthetic Dermatology is an health care organization with primary practice located at 300 Taylor Rd Suite 800, Montgomery AL 36117-3521. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Aesthetic Dermatology can be contacted via phone (334) 273-1122, or through Phan, Athena via phone (334) 273-1122.

Contact Information

Primary practice address
300 Taylor Rd Suite 800 Montgomery AL 36117-3521
Phone: (334) 273-1122
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Phan, Athena Doctor of Medicine (MD)
Phone: (334) 273-1122

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1164748117
LBN Legal business name Aesthetic Dermatology
DBA Doing business as
Authorized official Phan, Athena Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 15th, 2010
Last updated Apr 15th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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