Organization
ATHENS DUBLIN AREA DERMATOLOGY, PC
Active
Other names
Athens Area Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA A PASLEY (OFFICE MANAGER)
(706) 369-7546
Entity
Organization
Contact information
Practice address
950 PRINCE AVE, ATHENS, GA 30606-2726
(706) 369-7546
(706) 369-6788
Mailing address
PO BOX 168, ATHENS, GA 30603-0168
(706) 369-7546
(706) 369-6788
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
030351
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000369872G
—
GA
Enumeration date
08/11/2008
Last updated
08/11/2008
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