Organization
EDWARD DIPRETA MD PC
Active
Organization
EDWARD DIPRETA MD PC
Active
Other names
Brunswick Dermatology and Camden Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ANTHONY DIPRETA MD (PRESIDENT)
(912) 265-2142
Entity
Organization
Contact information
Practice address
3008 E PARK AVE, BRUNSWICK, GA 31520-4241
(912) 265-2142
(912) 265-0530
Mailing address
3008 E PARK AVE, BRUNSWICK, GA 31520-4241
(912) 265-2142
(912) 265-0530
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
511G700321
MEDICARE GROUP#
GA
Enumeration date
01/17/2008
Last updated
04/09/2009
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