South Georgia Dermatology, Pc in Tifton - Dermatology
South Georgia Dermatology, Pc - NPI 1770645228
South Georgia Dermatology, Pc is a Dermatology in Tifton, Georgia. South Georgia Dermatology, Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for South Georgia Dermatology, Pc is 1770645228. The last update date is 2020-08-22.
South Georgia Dermatology, Pc's current location address is 802 18th St E, Tifton, Georgia. You can contact this provider via phone number 2293869333 and fax number 2293861666. The mailing address for South Georgia Dermatology, Pc is 802 18th St E, Tifton, Georgia. To know further, please read the information below!
Provider Profile Detail
Provider Organization | South Georgia Dermatology, Pc |
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Address | 802 18th St E, Tifton, Georgia |
Phone Number | 2293869333 |
Fax Number | 2293861666 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRACTICE M |
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Authorized Official Name | Renfroe Elizabeth Kristyn |
Telephone Number | 2293869333 |
NPI Number Detail
NPI Number | 1770645228 |
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Provider Enumeration Date | 2006-12-14 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 802 18th St E |
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City | Tifton |
State | Georgia (GA) |
Post Code | 317943661 |
Phone Number | 2293869333 |
Fax Number | 2293861666 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Licence No | 44059 |
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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What is the unique identifier code issued to South Georgia Dermatology, Pc by the Centers for Medicare & Medicaid Services?
The South Georgia Dermatology, Pc has been assigned the NPI (National Provider Identifier) 1770645228. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where South Georgia Dermatology, Pc's facilities are situated?
The facilities of South Georgia Dermatology, Pc are physically located at the following address: 802 18Th St E, Tifton, GA, 317943661.
What is the area of specialization for South Georgia Dermatology, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for South Georgia Dermatology, Pc is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
On what date was the 1770645228 assigned to South Georgia Dermatology, Pc?
The South Georgia Dermatology, Pc was issued its 1770645228 on 2006-12-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to South Georgia Dermatology, Pc most recently updated or refreshed?
The details pertaining to the South Georgia Dermatology, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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