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Organization
EDWARD DIPRETA,MD, P.C.
Active
Organization
EDWARD DIPRETA,MD, P.C.
Active
Parent organization
EDWARD DIPRETA,MD.P.C.
Other names
DiPreta Dermatology Dispensary
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDWARD DIPRETA,MD.P.C.
Authorized official
DR. EDWARD ANTHONY DIPRETA M.D (PRESIDENT)
(912) 265-2142
Entity
Organization
Contact information
Practice address
370 PEACHTREE ST, JESUP, GA 31545-0244
(912) 427-4344
(912) 427-4303
Mailing address
3008 E PARK AVE, BRUNSWICK, GA 31520-4241
(912) 265-2142
(912) 265-0530
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
052707
GA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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