| NPI | 1770958092 |
|---|---|
| Doing Business As | DIAGNOSTIC DERMATOPATHOLOGY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LIAQAT ALI Owner 706-256-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: GA 74802) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 74802) |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2017-01-11 |