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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