Organization
DERMATOLOGY SERVICES OF GEORGIA, PLLC
Active
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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