Prosynergy Dermatology LLC

NPI #1205518875 in Martinez, Georgia

Provider Information

NPI Number: 1205518875
Entity Type: Organization
Organization Name: Prosynergy Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Aug 3, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 111 DAVIS RD
City: Martinez
State: Georgia
ZIP Code: 30907-2383
Phone: (706) 432-9285

Authorized Official

Name: DR. STEPHEN MELVIN SQUIRES, MD
Title: CEO AND PRESIDENT
Phone: (706) 432-9285

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology	207N00000X	Primary

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