| NPI | 1821346651 |
|---|---|
| Doing Business As | DIPRETA DERMATOLOGY DISPENSARY |
| Entity Type | Organization |
| Authorized Contact | EDWARD ANTHONY DIPRETA President 912-265-2142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: GA 052707) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |