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Contact Information

LANIER DERMATOLOGY & SKIN CANCER SPECIALISTS, PC
605 S ENOTA DR NE
GAINESVILLE, GA30501-2437
 Phone: 770-538-0208
 Fax: 770-538-0556
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for LANIER DERMATOLOGY & SKIN CANCER SPECIALISTS, PC

NPI # 1437109899
LBN Legal business name LANIER DERMATOLOGY & SKIN CANCER SPECIALISTS, PC
Authorized official CARMEN SMITH - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/10/2006
Last updated 12/11/2015 - About 10 years ago
Identifiers
GA Medicaid 000678983B
GA Medicaid 000814767A
GA Other 0005756529 AETNA
GA Other 0007735230 AETNA
GA Other 1306896931 BCBS
GA Other 1487604021 BCBS
GA Other 070011202 RAILROAD MEDICARE
GA Other 070015990 RAILROAD MEDICARE
GA Other CH9982 RAILROAD MEDICARE
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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