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

Jasper Dermatology, LLC

Organization Dermatology Physician · NPI 1801622642

Jasper Dermatology, LLC is a Dermatology Physician in Jasper, Alabama. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

87 19th St W Ste 200
Jasper, AL 35501-5430
Phone: (205) 282-1802
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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 number1801622642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dana McCullar — Crnp/Owner/Ceo · (205) 282-1802
Other names Jasper Dermatology At Rastore
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing addressPo Box 290, Jasper, AL 35502-0290

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