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Organization

BELLA DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TERRY L SHARPE MD (OWNER)
(770) 507-8481
Entity
Organization

Contact information

Practice address
110 WALTER WAY UNIT 98, STOCKBRIDGE, GA 30281-9500
(770) 507-8481
(770) 507-5358
Mailing address
110 WALTER WAY UNIT 98, STOCKBRIDGE, GA 30281-9500
(770) 507-8481
(770) 507-5358

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
025826
GA

Other

Enumeration date
04/25/2012
Last updated
06/03/2024
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