Georgia Skin Cancer & Aestheitic Dermatology, Llc in Watkinsville - Dermatology
Georgia Skin Cancer & Aestheitic Dermatology, Llc - NPI 1205026168
Georgia Skin Cancer & Aestheitic Dermatology, Llc is a Dermatology in Watkinsville, Georgia. Georgia Skin Cancer & Aestheitic Dermatology, Llc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Georgia Skin Cancer & Aestheitic Dermatology, Llc is 1205026168. The last update date is 2019-10-02.
Georgia Skin Cancer & Aestheitic Dermatology, Llc's current location address is 1180 Resurgence Dr Ste 100, Watkinsville, Georgia. You can contact this provider via phone number 7065435858 and fax number 7066215804. The mailing address for Georgia Skin Cancer & Aestheitic Dermatology, Llc is 1180 Resurgence Dr Ste 100, Watkinsville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Georgia Skin Cancer & Aestheitic Dermatology, Llc |
|---|---|
| Address | 1180 Resurgence Dr Ste 100, Watkinsville, Georgia |
| Phone Number | 7065435858 |
| Fax Number | 7066215804 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Campbell Martin Ross |
| Credentials | M.D. |
| Telephone Number | 7065435858 |
NPI Number Detail
| NPI Number | 1205026168 |
|---|---|
| Provider Enumeration Date | 2007-07-26 |
| Last Updated Date | 2019-10-02 |
Provider Mailing Address Detail
| Address | 1180 Resurgence Dr Ste 100 |
|---|---|
| City | Watkinsville |
| State | Georgia (GA) |
| Post Code | 306777211 |
| Phone Number | 7065435858 |
| Fax Number | 7066215804 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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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 10-digit identification code assigned to Georgia Skin Cancer & Aestheitic Dermatology, Llc by the Centers for Medicare & Medicaid Services?
The Georgia Skin Cancer & Aestheitic Dermatology, Llc has been issued the NPI (National Provider Identifier) 1205026168, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Georgia Skin Cancer & Aestheitic Dermatology, Llc is physically located?
The Georgia Skin Cancer & Aestheitic Dermatology, Llc is physically situated at the following address: 1180 Resurgence Dr Ste 100, Watkinsville, GA, 306777211.
What is Georgia Skin Cancer & Aestheitic Dermatology, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Georgia Skin Cancer & Aestheitic Dermatology, Llc's area of specialization is Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207N00000X.
On what date did the Georgia Skin Cancer & Aestheitic Dermatology, Llc receive the assignment of its 1205026168 from the Centers for Medicare & Medicaid Services?
The Georgia Skin Cancer & Aestheitic Dermatology, Llc was issued its 1205026168 by the Centers for Medicare & Medicaid Services on 2007-07-26.
As of what date were the Georgia Skin Cancer & Aestheitic Dermatology, Llc's details last updated?
The information pertaining to the Georgia Skin Cancer & Aestheitic Dermatology, Llc, including its address, specialty, and other details, was most recently updated on 2019-10-02.