DERMATOLOGY AFFILIATES, PC
Medical Practice at Maple Dr, Atlanta, GA

License number
Georgia 044218
Category
Medical Practice
Type
Specialist
Owner
Name: VIRGINIA RUTLEDGE FORNEY MD
Title: OWNER
Phone: (404) 816-7900
Address
Address
3131 Maple Dr NE SUITE 102, Atlanta, GA 30305
National Provider ID: 1730244872
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DERMATOLOGY AFFILIATES, PC

PO Box 52226, Atlanta, GA 30355

Industry:
Medical Doctor's Office
Registration:
Jan 22, 2004
State ID:
0405139
Business type:
Domestic Professional Corporation
CFO:
Rutledge V. Forney (CFO), 59 E Park Ln, Atlanta, GA 30309 (Physical)
Agent:
V. Rutledge Forney,59 E Park Ln, Atlanta, GA (Physical)

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