Organization
GEORGIA DERMATOPATHOLOGY
Active
Parent organization
GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
Authorized official
MICHAEL J SHARKEY MD (OWNER)
(478) 328-1433
Entity
Organization
Contact information
Practice address
510 E OGLETHORPE HWY, HINESVILLE, GA 31313
(912) 369-7284
(478) 328-0281
Mailing address
212 HOSPITAL DR STE H, WARNER ROBINS, GA 31088-4289
(478) 328-0281
(478) 328-0438
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
07/11/2007
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