| NPI | 1841699337 |
|---|---|
| Doing Business As | ACWORTH PROCEDURAL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JOHNATHAN L. CHAPPELL Authorized Rep/Owner 678-505-8030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-11-07 |