Georgia Mountain Dermatology, LLC
Georgia Mountain Dermatology, LLC provides Dermatology Physician services in Jasper, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
150 Interstate South Dr Ste 100Jasper, GA 30143 Not confirmed with CMS for 19 years — call before visiting
Phone: (706) 253-3376
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 033322 (GA) |
|---|
Record details
| NPI number | 1043400088 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carlton Faulk — President · (706) 253-3376 |
| NPI enumerated | July 26, 2007 |
| Last updated in NPPES | July 26, 2007 |
| Mailing address | 150 Interstate South Drive, Suite 100, Jasper, GA 30143 |
Other providers in Jasper
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Mr. Carlton Trent Faulk, MEDICALDOCTOR
150 Interstate South Dr Ste 100, Jasper, GA 30143 · (706) 253-3376