Northwest Georgia Dermatology & Skin Surgery Center Pc

NPI 1467641381 - Dermatology - 207NS0135X

NPI Details
NPI 1467641381
Enumeration Date 10/16/2007
Last Updated 10/19/2011
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JASON L JASON
Position OWNER/PRESIDENT
Phone (706) 235-7711
Fax (706) 235-9944
Practice Location
103 JOHN MADDOX DR NW
ROME GA, 30165-1419, US
Phone (706) 235-7711
Fax (706) 235-9944
Business Location
103 JOHN MADDOX DR NW
ROME GA, 30165-1419, US
Phone (706) 235-7711
Fax (706) 235-9944
Toxanomy
Taxonomy Code 207NS0135X
License State Georgia
License Number 032302
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According to our database, Northwest Georgia Dermatology & Skin Surgery Center Pc NPI is 1467641381, taxonomy code is 207NS0135X and license number is 032302, license state is located at Georgia. Northwest Georgia Dermatology & Skin Surgery Center Pc physically located at 103 John Maddox Dr Nw, Rome GA, 30165-1419. NPI Number 1033115704 has the healthcare provider type.

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1467641381 NPI number is provided on an as is basis without warranty of any kind. 1467641381 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Georgia Dermatology & Skin Surgery Center Pc are for informational purposes only.