Craig Dean Omohundro
Dermatologist MOHS-Micrographic Surgeon
4300 W Main St Suite 102
Dothan
, Alabama 36305-1054
Craig Dean Omohundro
Dermatologist MOHS-Micrographic Surgeon
4300 W Main St Suite 102
Dothan
, Alabama 36305-1054
(334) 671-8907
Write a Review Share Save Call
About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Craig Dean Omohundro
- 4300 W Main St Suite 102
- Dothan, AL
- Zip : 36305-1054
- Fax : (334) 671-8907
- Phone : (334) 793-9564
Second Address
- Craig Dean Omohundro
- 4300 W Main St Suite 102
- Dothan, AL
- Zip : 36305-1054
- Fax : (334) 671-8907
- Phone : (334) 793-9564
Reviews
FAQs
Where did Craig Dean Omohundro attend graduate school?
Where did Craig Dean Omohundro do his residency?
Where did Craig Dean Omohundro do his fellowship?
Is Craig Dean Omohundro board certified?
What type of doctor is Craig Dean Omohundro
In what state does Craig Dean Omohundro practice in?
Where is Craig Dean Omohundro ’s practice located?
What is Craig Dean Omohundro ’s gender?
Is Craig Dean Omohundro a sole practitioner?
Is Craig Dean Omohundro accepting new patients?
What languages does Craig Dean Omohundro speak?
Does Craig Dean Omohundro accept insurance?
Does Craig Dean Omohundro offers telemedicine?
What is Craig Dean Omohundro ’s professional license number?
What is Craig Dean Omohundro ’s NPI number?
Does Craig Dean Omohundro have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 20605 | AL |
| N | 207ND0101X | MOHS-Micrographic Surgeon | 20605 | AL |
National Provider Identifier
| NPI | 1457346850 |
|---|---|
| Provider Name | Craig Dean Omohundro |
| First Address | Dothan, AL 36305-1054 |
| Second Address | Dothan, AL 36305-1054 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2005 |
| Last Update Date | 22/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000032376 | (05) | AL |
| 00749185A | (05) | GA |
| 255070900 | (05) | FL |
| G51719 | (02) | AL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.