Organization
SKIN CANCER & COSMETIC DERMATOLOGY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLEY FINNELL (COO)
(423) 521-1100
Entity
Organization
Contact information
Practice address
1107 MEMORIAL DR STE 201, DALTON, GA 30720-8662
(706) 277-7311
(706) 272-3512
Mailing address
136 BATTLEFIELD CROSSING CT, RINGGOLD, GA 30736-5176
(706) 277-7311
(706) 529-7210
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP4446
MEDICARE GROUP
GA
Enumeration date
12/15/2006
Last updated
01/30/2024
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