NPI 1720105315

Town and Country Dermatology

Organisation Dermatology Physician Athens, GA

Practice location

Address: 2470 Daniels Bridge Rd Suite 261, Athens, GA 30606-6187
Phone: (706) 353-4570
Fax: (706) 353-4036

Authorised official

Name: Bette C. Potter
Title: Owner
Phone: (678) 832-2009

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 029364 (GA)

Other Dermatology providers in Georgia →

Registry record

NPI: 1720105315
Entity type: Organization
NPI issued: 26 Mar 2007
Record last updated: 16 Aug 2007

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.