Organization
SOUTHEASTERN DERMATOLOGY GROUP PA
Active
Other names
Dermatology Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
JON WARD MD (PRESIDENT)
(850) 233-3376
Entity
Organization
Contact information
Practice address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4423
(850) 233-3376
(850) 522-8354
Mailing address
2505 HARRISON AVE, PANAMA CITY, FL 32405-4423
(850) 233-3376
(850) 522-8354
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/30/2006
Last updated
03/21/2024
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