South Georgia Dermatology, PC
South Georgia Dermatology, PC is a Dermatology Physician in Tifton, Georgia. Licensed in Georgia. Registered with an NPI since 2006.
- Licensed in
- GA
- In the registry since
- 2006
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
802 18th St ETifton, GA 31794-3661
Phone: (229) 386-9333
Fax: (229) 386-1666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 044059 (GA) |
|---|
Record details
| NPI number | 1770645228 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kristyn Renfroe — Practice Manager · (229) 386-9333 |
| NPI enumerated | December 14, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 802 18th St E, Tifton, GA 31794-3661 |