Individual
FRANCES T. FLORENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 WILLIAMSBURG WAY, EVANS, GA 30809
(706) 922-3376
(706) 922-5643
Mailing address
1002 WILLIAMSBURG WAY, EVANS, GA 30809
(706) 922-3376
(706) 922-5643
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
057616
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
239541908A
—
GA
01
—
52210113-001
BCBS GA
GA
05
—
G57616
—
SC
Enumeration date
10/16/2006
Last updated
05/09/2017
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