NPI 1003213273
Dermatology Center South PC
Practice location
- Address
- 2800 Ross Clark Cir Suite 1, Dothan, AL 36301-2040
- Phone
- (334) 793-2211
Authorised official
- Name
- Sebastian Heersink
- Title
- President
- Phone
- (334) 793-2211
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1003213273
- Entity type
- Organization
- NPI issued
- 3 Dec 2014
- Record last updated
- 3 Dec 2014
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.