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ANGELA L BOOKOUT DO

Individual Provider (NPI-1) Active

Dermatology, MOHS-Micrographic Surgery

Provider Information

NPI Number
1891028957
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
1733 W MAIN ST SUITE 500, DOTHAN, AL, 363011321
Phone
(334) 699-7546
Fax
(334) 699-7548

Specialties & Taxonomies

Dermatology, MOHS-Micrographic Surgery License: GA #068485
Dermatology License: GA #068485
Dermatology, MOHS-Micrographic Surgery Primary License: AL #DO.1341

All Addresses

LOCATION

1733 W MAIN ST SUITE 500

DOTHAN, AL, 363011321

(334) 699-7546

MAILING

101 CREEKSIDE CROSSING STE 1700 PMB 161

BRENTWOOD, TN, 370275054