National Provider Identifier Database

DIAGNOSTIC DERMATOPATHOLOGY
Dermatopathology

A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.


Contact Information

DIAGNOSTIC DERMATOPATHOLOGY
2101 BROOKSTONE CENTRE PKWY
STE 300
COLUMBUS, GA31904-9254
Phone: 706-256-1133
Fax: 706-256-1136
Website:
Specialty Taxonomy Code
* Dermatopathology 207ND0900X
Dermatology 207N00000X

* Indicates primary specialty

NPI Profile & details for DIAGNOSTIC DERMATOPATHOLOGY

NPI Number 1770958092
Legal business name
LBN
DIAGNOSTIC DERMATOPATHOLOGY
Authorized official LIAQAT ALI - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 12/11/2015
Last updated 01/11/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: 74802
  • GA Medicaid: 003171345A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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