| 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 |