Organization
DERMATOLOGY SERVICES OF GEORGIA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER S. RICHARDS M.D. (OWNER)
(478) 472-8178
Entity
Organization
Contact information
Practice address
909 BROKEN ARROW TRL, PERRY, GA 31069-6800
(478) 472-8178
Mailing address
909 BROKEN ARROW TRL, PERRY, GA 31069-6800
(478) 472-8178
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
058316
GA
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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