Active NPI 1700849411 Individual Practitioner Male Practitioner

Dr. Stephen Guy Mallette , DO

Dermatology • Athens, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Mallette, DO is a certified Dermatology practicing in Athens, AL. With approximately 26 years of clinical experience since graduating from Nova Southeastern College Of Osteo Medicine in 2000, Dr. Mallette delivers high-quality medical care to the local community at 707 US HIGHWAY 31 S.

Dr. Mallette is affiliated with Mallette Dermatology and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

707 Us Highway 31 S
Suite F

Athens, AL 356113619

Telephone 2567711995

Fax 2567711965

Associated Practice Facility / Clinic

🏢 Central Pediatrics Inc. Facility NPI 1467639534

Medicare Profile & Education

Medical School

Nova Southeastern College Of Osteo Medicine

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Athens, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs Matches City Avg

City Avg: 26.0 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

1 Specialists

Practicing in Athens, AL (178 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mallette (26 Years) 26 Yrs

Athens Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,863	294	$21.06	$5.45
99213 Established patient office or other outpatient visit, typically 15 minutes	635	509	$100.57	$76.73
17000 Destruction of skin growth	514	381	$91.58	$43.30
17110 Destruction of up to 14 skin growths	445	374	$164.70	$86.39
17004 Destruction of precancer skin growth, 15 or more growths	370	229	$189.81	$137.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	152	152	$151.38	$92.43
17111 Destruction of skin growth, 15 or more growths	121	101	$130.65	$104.93
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	107	85	$207.57	$161.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	69	$130.06	$105.19
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	82	70	$232.91	$137.00
11102 Tangential biopsy of single skin lesion	47	45	$97.82	$71.87
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	47	40	$211.02	$147.12
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	24	24	$208.78	$153.11
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	22	21	$125.68	$109.75
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	18	17	$190.44	$142.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$158.59	$127.91
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	13	11	$115.83	$81.82
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	12	11	$125.51	$103.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,891	317	$24.99	$5.98
99213 Established patient office or other outpatient visit, typically 15 minutes	620	521	$153.50	$83.13
17000 Destruction of skin growth	519	403	$100.00	$47.85
17110 Destruction of up to 14 skin growths	482	402	$175.00	$96.65
17004 Destruction of precancer skin growth, 15 or more growths	338	205	$370.00	$153.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	158	158	$175.00	$102.95
17111 Destruction of skin growth, 15 or more growths	103	90	$190.00	$117.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	62	$156.48	$116.31
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	79	64	$240.00	$181.50
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	64	57	$200.00	$154.10
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	49	46	$200.00	$161.98
11102 Tangential biopsy of single skin lesion	35	35	$115.00	$74.10
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	27	25	$187.78	$155.36
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	20	20	$160.00	$122.25
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	15	13	$214.20	$164.59
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	15	$147.00	$112.47
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	15	13	$125.00	$88.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$180.00	$154.75
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	12	11	$450.00	$362.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,061	338	$24.93	$6.15
99213 Established patient office or other outpatient visit, typically 15 minutes	715	590	$138.20	$85.26
17000 Destruction of skin growth	556	430	$100.00	$49.66
17110 Destruction of up to 14 skin growths	509	429	$175.00	$99.16
17004 Destruction of precancer skin growth, 15 or more growths	313	194	$370.00	$156.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	182	182	$168.13	$105.57
17111 Destruction of skin growth, 15 or more growths	121	92	$190.00	$117.30
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	97	84	$240.00	$187.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	90	66	$150.00	$119.57
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	73	64	$200.00	$153.76
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	46	41	$200.00	$175.60
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	29	27	$180.00	$157.57
11102 Tangential biopsy of single skin lesion	27	27	$115.00	$86.50
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	22	21	$190.00	$181.36
11302 Shaving of skin growth of body, arms, or legs, 1.1-2.0 cm	22	22	$160.00	$127.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	13	$80.00	$53.42
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	18	$100.53	$89.85
11311 Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	16	15	$147.00	$125.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$178.85	$159.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,884	339	$25.00	$6.03
99213 Established patient office or other outpatient visit, typically 15 minutes	705	566	$116.02	$86.55
17000 Destruction of skin growth	585	466	$100.00	$48.80
17110 Destruction of up to 14 skin growths	449	388	$175.00	$102.18
17004 Destruction of precancer skin growth, 15 or more growths	377	251	$370.00	$154.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	211	202	$80.00	$53.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	142	142	$150.00	$107.44
17111 Destruction of skin growth, 15 or more growths	137	113	$190.00	$120.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	109	83	$150.00	$121.61
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	107	100	$240.00	$190.99
11102 Tangential biopsy of single skin lesion	88	88	$111.42	$87.21
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	59	49	$197.97	$154.30
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	47	42	$200.00	$165.36
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	32	31	$180.00	$159.45
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	27	27	$190.00	$182.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$165.00	$157.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,990	356	$24.91	$5.54
99213 Established patient office or other outpatient visit, typically 15 minutes	672	556	$110.25	$70.47
17000 Destruction of skin growth	602	475	$100.00	$49.11
17110 Destruction of up to 14 skin growths	477	405	$175.00	$99.43
17004 Destruction of precancer skin growth, 15 or more growths	345	222	$370.00	$147.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	193	182	$80.00	$42.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	186	186	$139.01	$100.90
17111 Destruction of skin growth, 15 or more growths	107	87	$190.00	$116.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	95	67	$145.47	$102.61
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	76	70	$240.00	$193.22
11102 Tangential biopsy of single skin lesion	75	75	$101.04	$78.71
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	55	52	$170.00	$155.42
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	52	45	$200.00	$172.98
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	31	28	$180.00	$143.12
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	23	23	$190.00	$176.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$165.00	$156.42
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$85.00	$71.58
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$250.00	$135.98
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	14	13	$150.00	$113.57
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$255.00	$156.69
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$212.00	$122.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,839	471	$25.00	$5.00
99213 Established patient office or other outpatient visit, typically 15 minutes	1,297	888	$110.21	$68.15
17000 Destruction of skin growth	844	632	$100.00	$46.01
17110 Destruction of up to 14 skin growths	651	553	$175.00	$94.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	379	379	$130.00	$98.83
17004 Destruction of precancer skin growth, 15 or more growths	318	204	$370.00	$137.20
11102 Tangential biopsy of single skin lesion	189	171	$89.61	$69.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	137	129	$80.00	$41.24
17111 Destruction of skin growth, 15 or more growths	122	98	$190.00	$115.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	80	$140.00	$97.61
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	110	93	$240.00	$184.95
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	89	78	$170.00	$147.11
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	52	46	$200.00	$165.23
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	45	45	$174.89	$161.92
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	37	36	$170.00	$146.99
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	25	$178.00	$147.42
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	26	26	$150.00	$130.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$165.00	$149.38
11103 Biopsy of related skin growth, each additional growth	22	22	$50.00	$48.47
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	21	21	$250.00	$121.67
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	20	19	$190.00	$164.05
13131 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm	15	15	$375.00	$357.37
11104 Punch biopsy, first skin growth	14	13	$88.93	$87.38
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	14	$255.00	$112.61
10060 Simple or single drainage of skin abscess	14	14	$121.43	$94.01
11400 Removal of growth (0.5 centimeters or less) of the trunk, arms or legs	13	11	$136.00	$104.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,555	488	$25.00	$4.46
99213 Established patient office or other outpatient visit, typically 15 minutes	1,069	831	$110.00	$63.44
17000 Destruction of skin growth	858	643	$100.00	$46.07
17110 Destruction of up to 14 skin growths	603	503	$175.00	$91.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	283	283	$127.07	$93.19
17004 Destruction of precancer skin growth, 15 or more growths	228	165	$370.00	$120.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	144	138	$80.00	$38.21
11100 Biopsy of single growth of skin and/or tissue	140	134	$99.64	$78.66
17111 Destruction of skin growth, 15 or more growths	112	94	$190.00	$108.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	73	$140.00	$92.75
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	78	69	$240.00	$161.97
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	44	43	$280.00	$207.70
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	37	35	$170.00	$126.03
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	34	34	$200.00	$154.44
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	32	32	$190.00	$152.66
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	30	$250.19	$127.68
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	27	26	$230.00	$169.81
11101 Biopsy of each additional growth of skin and/or tissue	24	24	$43.85	$28.37
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$85.00	$65.43
11401 Removal of noncancer skin growth of body, arms, or legs, 0.6-1.0 cm	22	21	$150.00	$117.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$165.00	$139.41
17274 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm	16	14	$265.00	$206.59
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	16	15	$212.00	$130.59
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	15	14	$395.00	$329.65
17264 Destruction of cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm	15	15	$230.00	$172.31
17266 Destruction of malignant growth (over 4.0 centimeters) of trunk, arms, or legs	14	14	$300.00	$192.99
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$255.00	$137.77
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	11	11	$165.00	$140.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,402	406	$25.00	$4.75
17000 Destruction of skin growth	749	560	$100.00	$47.20
17110 Destruction of up to 14 skin growths	571	463	$175.00	$91.08
99213 Established patient office or other outpatient visit, typically 15 minutes	451	377	$110.00	$63.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	329	306	$80.00	$37.59
17004 Destruction of precancer skin growth, 15 or more growths	206	155	$370.00	$128.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	179	135	$140.00	$92.43
17111 Destruction of skin growth, 15 or more growths	88	77	$190.00	$108.89
11100 Biopsy of single growth of skin and/or tissue	71	68	$100.00	$73.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$120.00	$93.49
17283 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 2.1-3.0 cm	54	52	$280.00	$206.38
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	52	45	$240.00	$161.07
17263 Destruction of cancer skin growth of trunk, arms, or legs, 2.1-3.0 cm	42	38	$190.00	$147.67
17264 Destruction of cancer skin growth of trunk, arms, or legs, 3.1-4.0 cm	33	28	$230.00	$164.23
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$85.00	$62.10
17273 Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals	26	25	$230.00	$168.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$165.00	$138.79
17266 Destruction of malignant growth (over 4.0 centimeters) of trunk, arms, or legs	21	21	$300.00	$198.81
17284 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 3.1-4.0 cm	21	21	$325.00	$240.57
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	13	$250.00	$99.13
17274 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 3.1-4.0 cm	13	13	$265.00	$210.31

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AL DO-841

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield Al

51522611 (AL)

Hospital & Practice Group Affiliations

Mallette Dermatology

15248 Greenfield Dr, Athens, AL 356132897

Phone: 2567711995

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Audri Ragasa , CRNP

Nurse Practitioner - Pediatrics

NPI 1760760235

Certified Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 03, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 03, 2008

Registered at 707 US HIGHWAY 31 S, SUITE F, ATHENS, AL 356113619 (Tel: 2567711995)

📍

Updated Business Mailing Address March 03, 2008

Registered at 707 US HIGHWAY 31 S, SUITE F, ATHENS, AL 356113619 (Tel: 2597711995)

👤

Provider Name / Credentials Updated March 03, 2008

Recorded as STEPHEN MALLETTE, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2008

Dermatology (License #DO-841 in AL)

🟢

Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1700849411

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 11, 2006

Last Update: March 03, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

707 Us Highway 31 S, Suite F

Athens, AL 356113619

Phone: 2597711995

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.