GEORGIA DERMATOPATHOLOGY NPI 1245328913

NPI Information

  • NPI: 1245328913
  • Provider Name: GEORGIA DERMATOPATHOLOGY
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • CLIA Number: 11D0963568
  • Address: 510 E OGLETHORPE HWY
    HINESVILLE, GA
    ZIP 31313
  • Phone: (912) 369-7284

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NPI Details

GEORGIA DERMATOPATHOLOGY is a dermatopathology dermatology in Hinesville, GA. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. GEORGIA DERMATOPATHOLOGY NPI is 1245328913. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

510 E OGLETHORPE HWY
HINESVILLE, GA
ZIP 31313
Phone: (912) 369-7284
Fax: (478) 328-0281

The provider's authorized official is Michael J Sharkey .
The authorized official title is Owner and has the following contact phone number (478) 328-1433.

The CLIA number assigned to this NPI record is 11D0963568 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/11/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ND0900XDermatologyDermatopathologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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