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Bay Shore Dermatology, PC — NPI 1316011398, Fairhope, AL | NPI Central

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NPI 1316011398

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Bay Shore Dermatology, PC

NPI 1316011398 · Dermatology Physician · Fairhope, AL

Provider details

NPI number: 1316011398
Entity type: Organization
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Robert Clark, President(251) 928-4944

Specialties & taxonomies

Dermatology PhysicianPrimary207N00000X
Allopathic & Osteopathic Physicians

Practice location

7550 Assunta Ct

Fairhope, AL 36532-3069

Phone: (251) 928-4944

Fax: (251) 928-2086

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

7550 Assunta Ct

Fairhope, AL 36532-3069

Other names (DBA / former)

Doing business as: Bay Shore Dermatology & Laser Surgery Center, PC
Doing business as: Bay Shore Dermatology & Laser Surgery Center, PC

Registry dates

Enumerated: 2006-11-20
Last updated: 2023-10-26
Certified: 2023-10-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.