Dermatology Services of Georgia, PLLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

058316 Issued in GA

Legal business name

DERMATOLOGY SERVICES OF GEORGIA, PLLC

Practice address

909 Broken Arrow TRL
Perry, GA 31069-6800

Phone

(478) 472-8178

NPI assigned

Oct 26, 2011

Last updated

Oct 26, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christopher S. Richards, M.D.

Title

Owner

Phone

(478) 472-8178

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1053697797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 BROKEN ARROW TRL",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310696800",
            "telephone_number": "478-472-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BROKEN ARROW TRL",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310696800",
            "telephone_number": "478-472-8178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMATOLOGY SERVICES OF GEORGIA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-472-8178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "058316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda H. Davis, M.D.
• Lauren Dean, CCC-SLP
• Latifah K Decker, M.ED., CCC-SLP
• Kaylan Dekle
• Tony Monroe Deloach, D.D.S.
• Shireen Dhir
• Robert Dickerson, CRNA
• Joe Mathis Dixon, O.D.
• Sue A Dobos, CRNA
• Julie Cromer Doster, M.ED.CCC-SLP

• Dermatology Physician in Perry, GA
• Providers in Perry, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.