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

Affiliated Dermatology, PC

Organization Dermatology Physician · NPI 1124008636

Affiliated Dermatology, PC is a Dermatology Physician in Dothan, Alabama. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
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

4300 W Main St Ste 102
Dothan, AL 36305-1054
Phone: (334) 793-9564
Fax: (334) 671-8907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Procedural Dermatology Physician (primary) Taxonomy 207NS0135X
Dermatology Physician Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X

Record details

NPI number1124008636
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lois Sallas — Administrator · (334) 793-9564
NPI enumeratedJanuary 19, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address4300 W Main St, Suite 102, Dothan, AL 36305-1054

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