Organization
GEORGIA DERMATOLOGY & SKIN CANCER CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J SHARKEY MD (PRESIDENT)
(478) 275-7202
Entity
Organization
Contact information
Practice address
2110 WOODSIDE EXECUTIVE COURT, AIKEN, SC 29803-3809
(803) 644-8900
(803) 644-8995
Mailing address
2400 BELLEVUE RD STE #21-A, DUBLIN, GA 31021-2890
(478) 328-0281
(478) 328-0438
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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