Organization
GEORGIA DERMATOPATHOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL SCOTT HOWARD IV MD (PRESIDENT)
(404) 371-0077
Entity
Organization
Contact information
Practice address
1610 LAVISTA RD NE STE 4, ATLANTA, GA 30329-4316
(404) 371-0077
(404) 371-1900
Mailing address
PO BOX 265, EVANSVILLE, IN 47702-0265
(812) 471-1591
(812) 471-6650
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
145104
GA
Other
Enumeration date
06/23/2005
Last updated
05/23/2023
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