Georgia Skin Cancer & Aestheitic Dermatology, LLC

NPI #1205026168 in Watkinsville, Georgia

Provider Information

NPI Number: 1205026168
Entity Type: Organization
Organization Name: Georgia Skin Cancer & Aestheitic Dermatology, LLC
Primary Specialty: Dermatology
Enumeration Date: Jul 26, 2007
Last Updated: Oct 2, 2019

Practice Location

Address: 1180 RESURGENCE DR STE 100
City: Watkinsville
State: Georgia
ZIP Code: 30677-7211
Phone: (706) 543-5858

Authorized Official

Name: ROSS MARTIN CAMPBELL, M.D.
Title: OWNER
Phone: (706) 543-5858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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