Dr. David Allen South
Dermatologist
204 Green Valley Road
Freedom
, California 95019
Dr. David Allen South
Dermatologist
204 Green Valley Road
Freedom
, California 95019
(831) 728-3310
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About
Features
Specialties
- Dermatologist
Languages spoken
- English
Location
First Address
- Dr. David Allen South
- 204 Green Valley Road
- Freedom, CA
- Zip : 95019
- Fax : (831) 728-3310
- Phone : (831) 728-2005
Second Address
- Dr. David Allen South
- 204 Green Valley Road
- Freedom, CA
- Zip : 95019
- Fax : (831) 728-3310
- Phone : (831) 728-2005
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | G30108 | CA |
National Provider Identifier
| NPI | 1053470468 |
|---|---|
| Provider Name | Dr. David Allen South |
| First Address | Freedom, CA 95019 |
| Second Address | Freedom, CA 95019 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/12/2006 |
| Last Update Date | 05/06/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G301080 | (05) | CA |
| A44289 | (02) |
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.