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

Aesthetic Dermatology

Organization Dermatology Physician · NPI 1164748117

Aesthetic Dermatology is a Dermatology Physician in Montgomery, Alabama. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

300 Taylor Rd Ste 800
Montgomery, AL 36117-3521
Phone: (334) 273-1122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1164748117
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Athena Phan — Owner · (334) 273-1122
NPI enumeratedApril 15, 2010
Last updated in NPPESApril 15, 2010
Mailing address2257 Taylor Rd, Suite 200, Montgomery, AL 36117-7790

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