Blue Ridge Dermatology

NPI #1972978401 in Blue Ridge, Georgia

Provider Information

NPI Number
1972978401
Entity Type
Organization
Organization Name
Blue Ridge Dermatology
Primary Specialty
Physician Assistant - Medical
Enumeration Date
Dec 9, 2015
Last Updated
Dec 9, 2015

Practice Location

Address
101 RIVERSTONE VIS
Address 2
STE 215
State
Georgia
ZIP Code
30513-6648
Phone
(706) 946-4227

Authorized Official

Name
FRANCES LOVINGOOD
Title
PM
Phone
(706) 946-4227

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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