| NPI | 1063460459 |
|---|---|
| Other Name | GEORGIA DERMATOLOGY & SKIN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL J SHARKEY Owner 478-275-2694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ZD0900X Pathology, Dermatopathology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2007-10-30 |