DAVID S. LOCKMAN MD, PC
Dermatology at Cobb St, Athens, GA

License number
Georgia 18041
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: MRS. ELLIE WEINSTEIN
Title: OFFICE MANAGER
Phone: (706) 548-3019
Address
Address
728 Cobb St, Athens, GA 30606
National Provider ID: 1437298957
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DAVID S. LOCKMAN, M.D., PC

728 Cobb St, Athens, GA

Status:
Inactive
Registration:
Feb 7, 1996
Inactive since:
May 26, 2004
State ID:
K608160
Business type:
Domestic Professional Corporation
CFOs:
S. David Lockman (Secretary), 728 Cobb St, Athens, GA (Physical),Lockman S. (CFO), 728 Cobb St, Athens, GA (Physical)
Agent:
David S Lockman,728 Cobb St, Athens, GA 30606 (Physical)

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