Prosynergy Dermatology Llc

LBN: Prosynergy Dermatology Llc
Prosynergy Dermatology Llc is an health care organization with primary practice located at 111 Davis Rd , Martinez GA 30907-2383. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Prosynergy Dermatology Llc can be contacted via phone (706) 432-9285, or through Squires, Stephen Melvin via phone (706) 432-9285.

Contact Information

Primary practice address
111 Davis Rd Martinez GA 30907-2383
Phone: (706) 432-9285
Fax: (706) 432-9674
Website:
Map and Directions
Authorized official contact:
Name: Squires, Stephen Melvin Doctor of Medicine (MD)
Phone: (706) 432-9285

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X

Profile Details

NPI number 1205518875
LBN Legal business name Prosynergy Dermatology Llc
DBA Doing business as
Authorized official Squires, Stephen Melvin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 3rd, 2023
Last updated Aug 3rd, 2023 - about 3 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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