| NPI | 1538369335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H LAMB President 770-834-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 18164) |
| Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: GA 18164) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: GA 18164) | |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-12-11 |