Southern Dermatology Pc

LBN: Southern Dermatology Pc
Southern Dermatology Pc is an health care organization with primary practice located at 1805 Herrington Rd Building 3, Suite A, Lawrenceville GA 30043-7987. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Southern Dermatology Pc can be contacted via phone (770) 817-2592, or through Moody, Winfred Derrick via phone (770) 817-2592.

Contact Information

Primary practice address
1805 Herrington Rd Building 3, Suite A Lawrenceville GA 30043-7987
Phone: (770) 817-2592
Fax: (678) 377-8167
Website:
Map and Directions
Authorized official contact:
Name: Moody, Winfred Derrick Doctor of Medicine (MD)
Phone: (770) 817-2592

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 045299 Georgia

Profile Details

NPI number 1437437837
LBN Legal business name Southern Dermatology Pc
DBA Doing business as
Authorized official Moody, Winfred Derrick Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2011
Last updated Sep 28th, 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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