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

Aqua Dermatology of Alabama PC

Organization Dermatology Physician · NPI 1477708642

Aqua Dermatology of Alabama PC is a Dermatology Physician in Vestavia Hls, Alabama. Licensed in Alabama. Registered with an NPI since 2008.

Licensed in
AL
In the registry since
2008
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

1940 Stonegate Dr Ste 130
Vestavia Hls, AL 35242
Phone: (205) 977-9876
Fax: (205) 977-9976
Show map & directions

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

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence 20579 (AL)
Dermatology Physician Taxonomy 207N00000X · Licence 20579 (AL)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 20579 (AL)

Record details

NPI number1477708642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Lake — Administration · (205) 977-9786
Other names Sunrise Dermatology; Surgical Dermatology Group; True Dermatology
NPI enumeratedDecember 1, 2008
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address1940 Stonegate Dr Ste 130, Vestavia Hls, AL 35242-2541

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