Organization
DERMATOLOGY & SKIN CANCER PREVENTION CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID S. BRYANT M.D. (OWNER)
(770) 389-9116
Entity
Organization
Contact information
Practice address
1215 EAGLES LANDING PARKWAY, SUITE 205, STOCKBRIDGE, GA 30281-7280
(770) 389-9116
(770) 506-4580
Mailing address
1215 EAGLES LANDING PARKWAY, SUITE 205, STOCKBRIDGE, GA 30281-7280
(770) 389-9116
(770) 506-4580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
005538
GA
174400000X
Specialist
Primary
052394
GA
Other
Enumeration date
10/22/2009
Last updated
03/23/2011
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