Atlantic Shore Dermatology LLC
NPI #1912018839 in St Simons Island, Georgia
Provider Information
- NPI Number
- 1912018839
- Entity Type
- Organization
- Organization Name
- Atlantic Shore Dermatology LLC
- Primary Specialty
- Dermatology
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2485 DEMERE RD # C100
- City
- St Simons Island
- State
- Georgia
- ZIP Code
- 31522-5634
- Phone
- (912) 634-4966
Authorized Official
- Name
- ASHLEY C. CAVALIER, M.D.
- Title
- OWNER
- Phone
- (912) 634-4966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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