Organization
COLUMBUS DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE GAGNE (PRACTICE ADMINISTRATOR)
(706) 568-2700
Entity
Organization
Contact information
Practice address
7301 BLACKMON RD, COLUMBUS, GA 31909-4478
(706) 568-2700
(706) 568-2705
Mailing address
7301 BLACKMON RD, COLUMBUS, GA 31909-4478
(706) 568-2700
(706) 568-2705
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
6696501
GA
Other
Enumeration date
10/17/2006
Last updated
08/22/2020
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