Organization
DERMATOLOGY OF ATHENS, P.C.
Active
Organization
DERMATOLOGY OF ATHENS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M GREESON M.D. (PRESIDENT)
(706) 353-8220
Entity
Organization
Contact information
Practice address
2000 PRINCE AVE, ATHENS, GA 30606-6016
(706) 353-8220
(706) 353-8288
Mailing address
2000 PRINCE AVE, ATHENS, GA 30606-6016
(706) 353-8220
(706) 353-8288
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
06 79164
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023320A
—
GA
Enumeration date
09/20/2006
Last updated
03/22/2010
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