Organization
COMPREHENSIVE SKIN CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE KHABENSKIY (BUSINESS MANAGER)
(917) 836-5771
Entity
Organization
Contact information
Practice address
1339 LA ROCHELLE DR, COLUMBUS, OH 43221-1531
(917) 836-5771
Mailing address
600 MORRISON RD, GAHANNA, OH 43230-5342
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
BR9944732
OH
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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