Organization
SOUTHEASTERN DERMATOLOGY GROUP PA
Active
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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