Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Dermatology Center, PC

Organization Dermatology Physician · NPI 1336172634

Southern Dermatology Center, PC provides Dermatology Physician services in Decatur, Alabama. Licensed in Alabama. Registered with an NPI since 2006.

Licensed in
AL
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2828 Highway 31 S Ste 105
Decatur, AL 35603-1510 Not confirmed with CMS for 17 years — call before visiting
Phone: (256) 351-9077
Fax: (256) 351-0294
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence D0196 (AL)

Record details

NPI number1336172634
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelo Mancuso — Owner · (256) 351-9077
NPI enumeratedJuly 9, 2006
Last updated in NPPESApril 7, 2009
Mailing address2828 Highway 31 S, Suite 105, Decatur, AL 35603-1510

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