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1194209163
LIVE OAK DERMATOLOGY
ROSWELL, GA
NPI
1194209163
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Entity Type
Organization
Authorized Contact
BRENT GOEDJEN
CEO
678-870-2020
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2018-09-17
Last Update Date
2022-07-22
Business Address
LIVE OAK DERMATOLOGY
135 NORCROSS ST # 8
ROSWELL, GA 30075-3867
Phone number: 678-870-2020
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Mailing Address
LIVE OAK DERMATOLOGY
135 NORCROSS ST # 8
ROSWELL, GA 30075-3867
Phone number: 678-870-2020
Copy
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