NPI age
20 years
Enumerated 2006-04-26
Across 55 active dermatology providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00703436A | |
| 01 (GA) | 041532 | GA LICENSE |
Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.
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