Riverside Dermatology And Aesthetic Center, Pc

LBN: Riverside Dermatology And Aesthetic Center, Pc
Riverside Dermatology And Aesthetic Center, Pc is an health care organization with primary practice located at 2045 Centre Stone Ct Suite B, Columbus GA 31904-4571. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Riverside Dermatology And Aesthetic Center, Pc can be contacted via phone (706) 257-4189, or through Fussell, Jacqueline Nicole via phone (706) 257-4189.

Contact Information

Primary practice address
2045 Centre Stone Ct Suite B Columbus GA 31904-4571
Phone: (706) 257-4189
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fussell, Jacqueline Nicole Doctor of Medicine (MD)
Phone: (706) 257-4189

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 70111 Georgia

Profile Details

NPI number 1982010716
LBN Legal business name Riverside Dermatology And Aesthetic Center, Pc
DBA Doing business as
Authorized official Fussell, Jacqueline Nicole Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2014
Last updated Jul 1st, 2014 - about 12 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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