# COLUMBUS DERMATOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932280229
- **Authorized official:** ANNE GAGNE (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (706) 568-2700

## Contact information

- **Practice address:** 7301 BLACKMON RD, COLUMBUS, GA 31909-4478
- **Practice address phone:** (706) 568-2700
- **Practice address fax:** (706) 568-2705
- **Mailing address:** 7301 BLACKMON RD, COLUMBUS, GA 31909-4478
- **Mailing address phone:** (706) 568-2700
- **Mailing address fax:** (706) 568-2705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 6696501 | GA | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 08/22/2020