Organization
SKINPATH SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI ANAND (MD)
(706) 737-4575
Entity
Organization
Contact information
Practice address
2000 LAKE PARK DR SE, SMYRNA, GA 30080-7611
(678) 556-9411
Mailing address
2000 LAKE PARK DR SE, SMYRNA, GA 30080-7611
(678) 556-9411
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D2010733
CLIA NUMBER
—
Enumeration date
04/23/2010
Last updated
12/16/2021
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