NPI age
20 years
Enumerated 2005-09-23
Across 483 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 421508605A | |
| 05 (NY) | 02578361 |
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
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