Organization
DERMATOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACEY E AULT (INSURANCE CLERK)
(540) 667-4499
Entity
Organization
Contact information
Practice address
1514 AMHERST ST, WINCHESTER, VA 22601-2803
(540) 667-4499
(540) 722-4172
Mailing address
1514 AMHERST ST, WINCHESTER, VA 22601-2803
(540) 667-4499
(540) 722-4172
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/09/2005
Last updated
04/30/2014
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