Wiregrass Dermatology, Llc

LBN: Wiregrass Dermatology, Llc
Wiregrass Dermatology, Llc is an health care organization with primary practice located at 804 N Wiley Ave , Donalsonville GA 39845-1120. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Wiregrass Dermatology, Llc can be contacted via phone (229) 524-2808, or through Alexander, Andrea Garcia via phone (229) 524-2808.

Contact Information

Primary practice address
804 N Wiley Ave Donalsonville GA 39845-1120
Phone: (229) 524-2808
Fax: (229) 524-2738
Website:
Map and Directions
Authorized official contact:
Name: Alexander, Andrea Garcia Doctor of Medicine (MD)
Phone: (229) 524-2808

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1922752427
LBN Legal business name Wiregrass Dermatology, Llc
DBA Doing business as Wiregrass Dermatology, Llc
Authorized official Alexander, Andrea Garcia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 4th, 2022
Last updated Jan 26th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922752427 NPPES
Other 1346433521 MD NPI
Other 1255798047 MD NPI

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