Organization
CHATHAM DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA L MCCULLOUGH MD (OWNER)
(912) 355-9818
Entity
Organization
Contact information
Practice address
820 E 67TH ST, SAVANNAH, GA 31405-4611
(912) 355-9818
(912) 356-9878
Mailing address
820 E 67TH ST, SAVANNAH, GA 31405-4611
(912) 355-9818
(912) 356-9878
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
034016
GA
Other
Enumeration date
03/13/2014
Last updated
03/13/2014
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