Organization
ADVANCED DERMATOLOGY AT SKINCARE 5TH AVENUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH GALITZIN MD (CEO)
(707) 487-2645
Entity
Organization
Contact information
Practice address
2579 HIGHWAY 54, PEACHTREE CITY, GA 30269-1451
(770) 487-2645
Mailing address
2579 HIGHWAY 54, PEACHTREE CITY, GA 30269-1451
(770) 487-2645
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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