| NPI | 1922752427 |
|---|---|
| Doing Business As | WIREGRASS DERMATOLOGY, LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREA GARCIA ALEXANDER Officer/Owner 229-524-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2023-01-26 |