NPI | 1396937538 |
---|---|
Doing Business As | SEXTON DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | SHENARA AUSTIN SEXTON Owner/President 706-552-1226 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: GA 053161) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2014-08-13 |