| NPI | 1063668762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H LAWSON Owner 478-328-0438 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207Q00000X Family Medicine | |
| 207ZD0900X Pathology, Dermatopathology | |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-12-23 |