Organization
BLUE RIDGE DERMATOLOGY
Active
Organization
BLUE RIDGE DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES LOVINGOOD (PM)
(706) 946-4227
Entity
Organization
Contact information
Practice address
101 RIVERSTONE VIS, STE 215, BLUE RIDGE, GA 30513-6648
(706) 946-4227
Mailing address
101 RIVERSTONE VIS, STE 215, BLUE RIDGE, GA 30513-6648
(706) 946-4227
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
6730
GA
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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