Southeastern Dermatopathology, Llc

LBN: Southeastern Dermatopathology, Llc
Southeastern Dermatopathology, Llc is an health care organization with primary practice located at 1067 Windermere Xing , Cumming GA 30041-6104. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Southeastern Dermatopathology, Llc can be contacted via phone (205) 910-6852, or through Bouldin, Molly via phone (205) 910-6852.

Contact Information

Primary practice address
1067 Windermere Xing Cumming GA 30041-6104
Phone: (205) 910-6852
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bouldin, Molly Doctor of Medicine (MD)
Phone: (205) 910-6852

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 47704 Georgia

Profile Details

NPI number 1932497492
LBN Legal business name Southeastern Dermatopathology, Llc
DBA Doing business as
Authorized official Bouldin, Molly Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2011
Last updated Jul 19th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932497492 NPPES
Other ME81020 MEDICAL LICENSE FLORIDA
Other 1174502827 MEDICAL LICENSE FLORIDA
Other 47704 MEDICAL LICENSE FLORIDA

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