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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