NPI 1083044465

Dermatopathology Lab of Skin Cancer Specialists, P.C.

Organisation Clinical Medical Laboratory Marietta, GA

Practice location

Address: 175 White Street Suite 370, Marietta, GA 30060-1054
Phone: (770) 422-5557
Fax: (770) 422-8816
Mailing address: 175 White Street Suite 175, Marietta, GA 30060-1054

Authorised official

Name: Mark A. Chastain, M.D.
Title: President
Phone: (770) 422-5557

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Georgia →

Registry record

NPI: 1083044465
Entity type: Organization
NPI issued: 20 Nov 2013
Record last updated: 20 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.