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Contact Information

DERMATOLOGY OF ATHENS, P.C.
2000 PRINCE AVE
ATHENS, GA30606-6016
 Phone: 706-353-8220
 Fax: 706-353-8288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for DERMATOLOGY OF ATHENS, P.C.

NPI Number 1023115482
LBN Legal business name DERMATOLOGY OF ATHENS, P.C.
Authorized official DAVID GREESON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 03/22/2010 - About 16 years ago
Identifiers
GA License # 06 79164
GA Medicaid 300023320A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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