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Organization

SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC

Active
Parent organization
SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SKIN CANCER AND COSMETIC DERMATOLOGY CENTER PC
Authorized official
KELLEY FINNELL (PRACTICE MANAGER)
(706) 277-7311
Entity
Organization

Contact information

Practice address
400 DIXIE LEE CENTER RD, SUITE C, KIMBALL, TN 37347-5672
(706) 277-7311
(706) 272-3512
Mailing address
1107 MEMORIAL DR, SUITE 201, DALTON, GA 30720-8668
(706) 277-7311
(706) 272-3512

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/07/2010
Last updated
01/17/2011
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