| NPI | 1932233350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE - THOMAS President 706-543-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 021353) |
| Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology (Licence: GA 021353) |
| 207ZD0900X Pathology Dermatopathology (Licence: GA 021353) | |
| 207ZP0101X Pathology Anatomic Pathology (Licence: GA 021353) | |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |