| NPI | 1487792404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEIRDRE B RODGERS Insurance Specialist 404-350-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2015-03-09 |