Organization
CAMPEN DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA ANNE MASCUNANA (OFFICE MANAGER)
(912) 356-3604
Entity
Organization
Contact information
Practice address
5102 PAULSEN ST, BLDG. 4, SAVANNAH, GA 31405-4601
(912) 356-3604
(912) 356-5801
Mailing address
5102 PAULSEN ST, BLDG. 4, SAVANNAH, GA 31405-4601
(912) 356-3604
(912) 356-5801
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
031202
GA
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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