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

Southeastern Skin Cancer & Dermatology

Organization MOHS-Micrographic Surgery Physician · NPI 1538433602

Southeastern Skin Cancer & Dermatology is an MOHS-Micrographic Surgery Physician in Madison, Alabama. Licensed in Alabama. Registered with an NPI since 2012.

Licensed in
AL
In the registry since
2012

Practice location Address checks out

104 J E Briscoe Way
Madison, AL 35758-4822
Phone: (256) 705-3000
Fax: (256) 705-3105
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 DO987 (AL)

Record details

NPI number1538433602
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Albert Rivera — President · (859) 351-4994
NPI enumeratedMarch 6, 2012
Last updated in NPPESAugust 21, 2024
Certification dateAugust 21, 2024
Mailing address124 County Road 3401, Haleyville, AL 35565-6959

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