Organization
DERMATOLOGY ASSOCIATES OF TALLAHASSEE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN RICHARDSON MD (BOARD SECRETARY)
(850) 877-4134
Entity
Organization
Contact information
Practice address
4233 CAMELOT XING, VALDOSTA, GA 31602-6926
(229) 469-4383
(229) 469-4584
Mailing address
PO BOX 13834, TALLAHASSEE, FL 32317-3834
(850) 205-6232
(850) 402-9130
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/13/2015
Last updated
07/21/2022
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