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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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