| NPI | 1215923073 |
|---|---|
| Doing Business As | CENTRAL DERMATOLOGY LLC |
| Entity Type | Organization |
| Authorized Contact | BARRY L THOMPSON Sole Member 706-738-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-19 |