NPI age
18 years
Enumerated 2007-08-22
Across 483 active dermatology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (AL) | ACSC.41805 | ACSC |
| 01 | 1922752427 | GROUP NPI |
| 01 (AL) | MD.41805 | AL LICENSE NUMBER |
| 01 (GA) | 060626 | GA LICENSE NUMBER |
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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