Organization
DERMATOPATHOLOGY LAB OF SKIN CANCER SPECIALISTS, P.C.
Active
Parent organization
SKIN CANCER SPECIALISTS P.C
Organization subpart
Yes
Provider details
NPI number
Legal business name
SKIN CANCER SPECIALISTS P.C
Authorized official
MARK A. CHASTAIN, M.D. M.D. (PRESIDENT)
(770) 422-5557
Entity
Organization
Contact information
Practice address
175 WHITE STREET, SUITE 370, MARIETTA, GA 30060-1054
(770) 422-5557
(770) 422-8816
Mailing address
175 WHITE STREET, SUITE 175, MARIETTA, GA 30060-1054
(770) 422-5557
(770) 422-8816
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
11/20/2013
Last updated
11/20/2013
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