NPI 1316011398
Bay Shore Dermatology, PC
Practice location
- Address
- 7550 Assunta CT, Fairhope, AL 36532-3069
- Phone
- (251) 928-4944
- Fax
- (251) 928-2086
Authorised official
- Name
- Robert Clark
- Title
- President
- Phone
- (251) 928-4944
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1316011398
- Entity type
- Organization
- NPI issued
- 20 Nov 2006
- Record last updated
- 26 Oct 2023
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.