Organization
PATRICK D RETTERBUSH MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH RETTERBUSH (ADMINISTRATOR)
(706) 255-3702
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/13/2018
Last updated
05/28/2019
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