The Georgia Center for Dermatology and Skin Cancer Specialists

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

059557 Issued in GA

Legal business name

THE GEORGIA CENTER FOR DERMATOLOGY AND SKIN CANCER SPECIALISTS

Practice address

902 Ponder Place CT
Evans, GA 30809-3184

Phone

(706) 364-8876

Fax

(706) 364-9061

NPI assigned

Mar 3, 2008

Last updated

Mar 3, 2008By 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. Stephen H Mason, M.D.

Title

Physician

Phone

(706) 364-8876

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1669642948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 PONDER PLACE CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093184",
            "telephone_number": "706-364-8876",
            "fax_number": "706-364-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 PONDER PLACE CT",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093184",
            "telephone_number": "706-364-8876",
            "fax_number": "706-364-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GEORGIA CENTER FOR DERMATOLOGY AND SKIN CANCER SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "706-364-8876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "059557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Evans, GA
• Providers in Evans, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; 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.