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 |