Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diagnostic Dermatopathology

Organization Dermatology Physician · NPI 1770958092

Diagnostic Dermatopathology is a Dermatology Physician in Columbus, Georgia. Licensed in Georgia. Registered with an NPI since 2015.

Licensed in
GA
In the registry since
2015
Specialties on file
2

Practice location Address checks out

2101 Brookstone Centre Pkwy Ste 300
Columbus, GA 31904-9254
Phone: (706) 256-1133
Fax: (706) 256-1136
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence 74802 (GA)
Dermatology Physician Taxonomy 207N00000X · Licence 74802 (GA)

Record details

NPI number1770958092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liaqat Ali — Owner · (706) 256-1133
Other names Diagnostic Dermatopathology Associates
NPI enumeratedDecember 11, 2015
Last updated in NPPESJanuary 11, 2017
Mailing address2101 Brookstone Centre Pkwy, Ste 300, Columbus, GA 31904-9254

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