NPI 1457346850

Craig Dean Omohundro, MD

Practitioner Dermatology Physician Dothan, AL

Practice location

Address: 4300 W Main St Suite 102, Dothan, AL 36305-1054
Phone: (334) 793-9564
Fax: (334) 671-8907

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 20605 (AL)

Other Dermatology providers in Alabama →

MOHS-Micrographic Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 20605 (AL)

Registry record

NPI: 1457346850
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Sep 2005
Record last updated: 22 Oct 2015

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.