Oconee Dermatopathology
LBN: Athens-Oconee Skin Cancer & Dermatology, Llc
Oconee Dermatopathology is an health care organization with primary practice located at 1582 Mars Hill Rd Suite A, Watkinsville GA 30677-4836. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Athens-Oconee Skin Cancer & Dermatology, Llc can be contacted via phone (706) 769-7546, or through Bulengo, Stella Maries via phone (706) 769-7546.
Contact Information
Primary practice address
1582 Mars Hill Rd Suite A
Watkinsville GA 30677-4836
Phone: (706) 769-7546
Fax: (706) 769-2443
Website:
Authorized official contact:
Name: Bulengo, Stella Maries Doctor of Medicine (MD)
Phone: (706) 769-7546
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 050931 | Georgia |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 050931 | Georgia |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 050931 | Georgia |
Profile Details
| NPI number | 1790989291 |
|---|---|
| LBN Legal business name | Athens-Oconee Skin Cancer & Dermatology, Llc |
| DBA Doing business as | Oconee Dermatopathology |
| Authorized official | Bulengo, Stella Maries Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 11th, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790989291 | NPPES |
| Georgia | Other | 050931 | LICENSE |
| Georgia | Other | 1194717447 | LICENSE |
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