NPI 1386044543
Southern Institute of Aesthetics, PC
Practice location
- Address
- 1733 W Main St Suite 500, Dothan, AL 36301
- Phone
- (334) 699-7546
- Fax
- (334) 699-7548
- Mailing address
- 101 Creekside Crossing STE 1700 Pmb 161, Brentwood, TN 37027-5054
Authorised official
- Name
- Angela L Bookout
- Title
- President/Dermatologist
- Phone
- (334) 699-7546
Registered specialties
MOHS-Micrographic Surgery Physician
Primary
Registry record
- NPI
- 1386044543
- Entity type
- Organization
- NPI issued
- 25 Aug 2014
- Record last updated
- 8 Oct 2025
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.