SOUTHERN DERMATOLOGY PC

LAWRENCEVILLE, GA
NPI1437437837
Entity TypeOrganization
Authorized ContactWINFRED DERRICK MOODY
Owner
770-817-2592
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: GA  045299)
Enumeration Date2011-08-02
Last Update Date2011-09-28
Business Address
SOUTHERN DERMATOLOGY PC
1805 HERRINGTON RD BUILDING 3, SUITE A
LAWRENCEVILLE, GA 30043-7987
Phone number: 770-817-2592
Mailing Address
SOUTHERN DERMATOLOGY PC
1805 HERRINGTON RD BUILDING 3, SUITE A
LAWRENCEVILLE, GA 30043-7987
Phone number: 770-817-2592
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