# EDWARD DIPRETA,MD, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDWARD DIPRETA,MD.P.C.
- **Other names:** DiPreta Dermatology Dispensary
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821346651
- **Legal business name:** EDWARD DIPRETA,MD.P.C.
- **Authorized official:** DR. EDWARD ANTHONY DIPRETA M.D (PRESIDENT)
- **Authorized official phone:** (912) 265-2142

## Contact information

- **Practice address:** 370 PEACHTREE ST, JESUP, GA 31545-0244
- **Practice address phone:** (912) 427-4344
- **Practice address fax:** (912) 427-4303
- **Mailing address:** 3008 E PARK AVE, BRUNSWICK, GA 31520-4241
- **Mailing address phone:** (912) 265-2142
- **Mailing address fax:** (912) 265-0530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 052707 | GA | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012