GEORGIA MOUNTAIN DERMATOLOGY, LLC

JASPER, GA
NPI1043400088
Entity TypeOrganization
Authorized ContactCARLTON TRENT FAULK
President
706-253-3376
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: GA  033322)
Enumeration Date2007-07-26
Last Update Date2007-07-26
Business Address
GEORGIA MOUNTAIN DERMATOLOGY, LLC
150 INTERSTATE SOUTH DRIVE SUITE 100
JASPER, GA 30143
Phone number: 706-253-3376
Mailing Address
GEORGIA MOUNTAIN DERMATOLOGY, LLC
150 INTERSTATE SOUTH DRIVE SUITE 100
JASPER, GA 30143
Phone number:
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CARLTON TRENT FAULK