Organization
SKIN CANCER CENTER OF NORTH GEORGIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARBER MD (PRESIDENT)
(352) 259-6553
Entity
Organization
Contact information
Practice address
405 FANNIN INDUSTRIAL PARK, BLUE RIDGE, GA 30513-4191
(352) 259-6553
Mailing address
10973 SE 175TH PL STE 100, SUMMERFIELD, FL 34491-0905
(352) 259-6553
(352) 873-9397
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
11/09/2023
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