Dermpath and Derm Consultants

Organization Dermatopathology Physician · NPI 1841632783

Dermpath and Derm Consultants is a Dermatopathology Physician in Decatur, Georgia. Licensed in Georgia and South Carolina. Registered with an NPI since 2013.

Licensed in: GA, SC
In the registry since: 2013
Specialties on file: 2

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Practice location Address checks out

1428 Scott Blvd
Decatur, GA 30030-1424
Phone: (678) 904-4932
Fax: (404) 370-0428

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Specialties & licences

Clinical Medical Laboratory (primary)	Taxonomy 291U00000X · Licence 27516 (SC)
Dermatopathology Physician	Taxonomy 207ND0900X · Licence 053035 (GA)

Record details

NPI number	1841632783
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Kathleen Smith — Owner · (404) 291-0379
NPI enumerated	July 19, 2013
Last updated in NPPES	June 13, 2014
Mailing address	1428 Scott Blvd, Decatur, GA 30030-1424