is a Dermatology in Augusta, Georgia. practices all healthcare services and medical treatments related to Dermatology. The NPI Number for is 1467563395. The last update date is .
's current location address is 3614 J Dewey Gray Cir, Augusta, Georgia. You can contact this provider via phone number 7064473930 and fax number 7064473933. The mailing address for is 3614 J Dewey Gray Cir, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 3614 J Dewey Gray Cir, Augusta, Georgia |
| Phone Number | 7064473930 |
| Fax Number | 7064473933 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1467563395 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 3614 J Dewey Gray Cir |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309096602 |
| Phone Number | 7064473930 |
| Fax Number | 7064473933 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 22436 |
|
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 |
|---|---|---|---|
| 00426357E | GA | -- |
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