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1639313489
AESTHETIC DERMATOLOGY, PC
CUMMING, GA
NPI
1639313489
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Entity Type
Organization
Authorized Contact
TRISHA DALEY
President/Physician
770-205-0104
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: GA 059398)
Enumeration Date
2009-04-23
Last Update Date
2009-07-27
Business Address
AESTHETIC DERMATOLOGY, PC
960 SANDERS RD SUITE 300
CUMMING, GA 30041-5962
Phone number: 770-205-0104
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Mailing Address
AESTHETIC DERMATOLOGY, PC
960 SANDERS RD SUITE 300
CUMMING, GA 30041-5962
Phone number: 770-205-0104
Copy
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