Individual
DR. PATRICK DAVID RETTERBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 OGLETHORPE AVE STE 300A, ATHENS, GA 30606-2181
(706) 614-1750
(706) 480-4185
Mailing address
1500 OGLETHORPE AVE STE 300A, ATHENS, GA 30606-2181
(706) 614-1750
(706) 480-4185
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
73445
GA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
73445
GA
Other
Enumeration date
04/18/2011
Last updated
05/28/2019
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