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1184005068
ADVANCED DERMATOLOGY OF GEORGIA, LLC
ALBANY, GA
NPI
1184005068
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Entity Type
Organization
Authorized Contact
AMY DECLUE
Director Of Provider Services
407-875-2080
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2015-06-16
Last Update Date
2018-01-22
Business Address
ADVANCED DERMATOLOGY OF GEORGIA, LLC
401 W 4TH AVE
ALBANY, GA 31701-1915
Phone number: 229-883-1130
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Mailing Address
ADVANCED DERMATOLOGY OF GEORGIA, LLC
151 SOUTHHALL LN SUITE 300
MAITLAND, FL 32751-7176
Phone number: 407-875-2080
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