NPI age
20 years
Enumerated 2006-08-10
● Active Type 2 · Organization
West Georgia Dermatology Pc
West Georgia Dermatology Pc is 1 of 1,870 specialist organizations in Georgia.
Primary specialty
Specialist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Barth
Owner
Last NPPES update
2014-03-20
Source: CMS NPPES provider record
How this organization compares
Across 1870 active specialist providers in Georgia.
NPI age
20 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2014
2006-08Enumerated in NPPES
2006
2014
Where they practice
Primary practice location
1605 Whitesville St
Lagrange, GA 302405903
Mailing address
1605 Whitesville St
Lagrange, GA 302405903
Authorized official
Garin Daniel Barth, MD
Owner
📞 7068825119
Other providers sharing this address
4 individual providers use this same primary NPPES address. Address matching does not prove employment or organizational affiliation.
- Debra Banks, MSN, RNFA, APRN, NP Nurse Practitioner NPI 1275755167
- Garin Barth, MD Dermatology NPI 1770518045
- Myles Jerdan, MEDICAL DOCTOR Dermatology NPI 1770549701
- Amanda Ward, PHYSICIAN ASSISTANT Physician Assistant NPI 1316059793
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 280767 | BC/BS PROVIDER NUMBER |
Practice context
Shared NPPES address. 4 individual providers use this primary address. This does not prove employment or affiliation.
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