Organization
ATLANTIC SHORE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY C. CAVALIER M.D. (OWNER)
(912) 634-4966
Entity
Organization
Contact information
Practice address
2485 DEMERE RD # C100, ST SIMONS ISLAND, GA 31522-5634
(912) 634-4966
Mailing address
2485 DEMERE RD # C100, ST SIMONS ISLAND, GA 31522-5634
(912) 634-4966
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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