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Organization

GEORGIA DERMATOLOGIC SURGERY CENTER, PC

Active
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Organization

GEORGIA DERMATOLOGIC SURGERY CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK FRANCIS BAUCOM M.D. (PRESIDENT)
(404) 943-1996
Entity
Organization

Contact information

Practice address
5555 PEACHTREE DUNWOODY RD NE, SUITE G65, ATLANTA, GA 30342-1703
(404) 943-1996
(404) 943-9464
Mailing address
5555 PEACHTREE DUNWOODY RD NE, SUITE G65, ATLANTA, GA 30342-1703
(404) 943-1996
(404) 943-9464

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Enumeration date
04/04/2007
Last updated
01/05/2012
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