NPI | 1407215817 |
---|---|
Doing Business As | GEORGIA SKIN CENTER |
Entity Type | Organization |
Authorized Contact | MISTY CAUDELL President 706-201-6324 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: GA 058402) |
Enumeration Date | 2016-02-12 |
Last Update Date | 2016-03-10 |