Organization
GEORGIA SKIN CANCER & AESTHEITIC DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS MARTIN CAMPBELL M.D. (OWNER)
(706) 543-5858
Entity
Organization
Contact information
Practice address
1180 RESURGENCE DR STE 100, WATKINSVILLE, GA 30677-7211
(706) 543-5858
(706) 621-5804
Mailing address
1180 RESURGENCE DR STE 100, WATKINSVILLE, GA 30677-7211
(706) 543-5858
(706) 621-5804
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/26/2007
Last updated
10/02/2019
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