| NPI | 1447953427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J RESCHLY Owner 470-273-7233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |