NPI 1437298957

Dermatology Specialists of Georgia, LLC

Organisation Dermatology Physician Athens, GA

Practice location

Address: 658 N Chase Street Unit 102, Athens, GA 30601
Phone: (877) 231-3376
Fax: (850) 522-8354
Mailing address: 2505 Harrison Ave, Panama City, FL 32405-4464

Authorised official

Name: Jon R Ward
Title: Md/Owner
Phone: (850) 233-3376

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 18041 (GA)

Other Dermatology providers in Georgia →

Registry record

NPI: 1437298957
Entity type: Organization
NPI issued: 5 Feb 2007
Record last updated: 2 Sep 2022

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.