Organization
GEORGIA DERMASURGERY CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J SHARKEY M.D. (PRESIDENT)
(478) 275-2694
Entity
Organization
Contact information
Practice address
2400 BELLEVUE RD, 16 ERIN OFFICE PARK, DUBLIN, GA 31021-2885
(478) 275-2694
(478) 275-2484
Mailing address
2400 BELLEVUE RD STE 21A, DUBLIN, GA 31021-2890
(478) 328-1433
(478) 922-7939
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
087-215
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
565599901A
—
GA
01
—
P00127281
RAILROAD MEDICARE
GA
Enumeration date
05/31/2006
Last updated
05/30/2008
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