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1912018839
ATLANTIC SHORE DERMATOLOGY LLC
ST SIMONS ISLAND, GA
NPI
1912018839
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Entity Type
Organization
Authorized Contact
ASHLEY C. CAVALIER
Owner
912-634-4966
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-08-31
Last Update Date
2020-08-22
Business Address
ATLANTIC SHORE DERMATOLOGY LLC
2485 DEMERE RD # C100
ST SIMONS ISLAND, GA 31522-5634
Phone number: 912-634-4966
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Mailing Address
ATLANTIC SHORE DERMATOLOGY LLC
2485 DEMERE RD # C100
ST SIMONS ISLAND, GA 31522-5634
Phone number: 912-634-4966
Copy
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