| NPI | 1568766822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B PHARIS Owner/President 770-622-6861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: GA 045108) |
| Enumeration Date | 2010-12-30 |
| Last Update Date | 2013-08-30 |