Summit Dermatology & Laser Center, P.C. in Brunswick - Dermatology
Summit Dermatology & Laser Center, P.C. - NPI 1508920992
Summit Dermatology & Laser Center, P.C. is a Dermatology in Brunswick, Georgia. Summit Dermatology & Laser Center, P.C. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Summit Dermatology & Laser Center, P.C. is 1508920992. The last update date is 2008-04-16.
Summit Dermatology & Laser Center, P.C.'s current location address is 1111 Glynco Pkwy, Brunswick, Georgia. You can contact this provider via phone number 9122621801 and fax number 9122646262. The mailing address for Summit Dermatology & Laser Center, P.C. is 1111 Glynco Pkwy, Brunswick, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Dermatology & Laser Center, P.C. |
|---|---|
| Address | 1111 Glynco Pkwy, Brunswick, Georgia |
| Phone Number | 9122621801 |
| Fax Number | 9122646262 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Blasik George Lawrence |
| Credentials | M.D. |
| Telephone Number | 9122621801 |
NPI Number Detail
| NPI Number | 1508920992 |
|---|---|
| Provider Enumeration Date | 2006-12-20 |
| Last Updated Date | 2008-04-16 |
Provider Mailing Address Detail
| Address | 1111 Glynco Pkwy |
|---|---|
| City | Brunswick |
| State | Georgia (GA) |
| Post Code | 315257921 |
| Phone Number | 9122621801 |
| Fax Number | 9122646262 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 55102 |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DB9882 | GA | RR MEDICARE |
Post Comment/ Review Below
What is the Summit Dermatology & Laser Center, P.C.'s 1508920992?
The Summit Dermatology & Laser Center, P.C.'s NPI (National Provider Identifier) Number is 1508920992. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Summit Dermatology & Laser Center, P.C.?
The Summit Dermatology & Laser Center, P.C. is situated at 1111 Glynco Pkwy, in the city of Brunswick, state of GA, with the zip code 315257921.
What is Summit Dermatology & Laser Center, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Summit Dermatology & Laser Center, P.C.'s specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
When was the Summit Dermatology & Laser Center, P.C.'s 1508920992 issued?
The Summit Dermatology & Laser Center, P.C.'s 1508920992 was issued on 2006-12-20.
As of what date were the details pertaining to Summit Dermatology & Laser Center, P.C. last refreshed?
The information related to the Summit Dermatology & Laser Center, P.C., including its address, specialty, and other relevant details, was last updated on 2008-04-16.
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