Registry details
Type
Organization
Primary specialty
Dermatology
Enumerated
Jan 22, 2025
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 1224 AUGUSTA WEST PKWY | Augusta, GA 30909-6582 | |
| LOCATION | 1224 AUGUSTA WEST PKWY | Augusta, GA 30909-6582 | 706-691-5957 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.