NPI age
17 years
Enumerated 2008-06-15
Across 20 active dermatology providers in Georgia.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (NC) | 5920344 | |
| 05 (VA) | 1891955688 |
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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