Individual
EDWARD A DIPRETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3008 E PARK AVE, BRUNSWICK, GA 31520-4241
(912) 265-2142
(912) 265-0530
Mailing address
3008 E PARK AVE, BRUNSWICK, GA 31520-4241
(912) 265-2142
(912) 265-0530
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
052707
GA
207ND0101X
MOHS-Micrographic Surgery Physician
052707
GA
207ND0900X
Dermatopathology Physician
052707
GA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
052707
GA
207NP0225X
Pediatric Dermatology Physician
052707
GA
207NS0135X
Procedural Dermatology Physician
052707
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
487177354
—
GA
01
—
52046337012
BCBS (GA DERM)
GA
01
—
52046337014
BCBS (BWKDERM)
GA
01
—
DC4061
RAILROAD MEDICARE
GA
01
—
P00182483
RAILROAD MEDICARE
GA
Enumeration date
11/15/2005
Last updated
02/13/2008
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