RIVERSIDE DERMATOLOGY AND AESTHETIC CENTER, PC

COLUMBUS, GA
NPI1982010716
Entity TypeOrganization
Authorized ContactJACQUELINE NICOLE FUSSELL
Physician
706-257-4189
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: GA  70111)
Enumeration Date2014-07-01
Last Update Date2014-07-01
Business Address
RIVERSIDE DERMATOLOGY AND AESTHETIC CENTER, PC
2045 CENTRE STONE CT SUITE B
COLUMBUS, GA 31904-4571
Phone number: 706-257-4189
Mailing Address
RIVERSIDE DERMATOLOGY AND AESTHETIC CENTER, PC
2045 CENTRE STONE CT SUITE B
COLUMBUS, GA 31904-4571
Phone number: 706-257-4189