| NPI | 1346351582 |
|---|---|
| Former Legal Business Name | DERMATOLOGIC SURGERY SPECIALISTS, P.C. |
| Entity Type | Organization |
| Authorized Contact | DAVUD B KENT Owner, Sr Physician, CEO 478-742-2180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-08-02 |