DIAGNOSTIC DERMATOPATHOLOGY NPI 1770958092

NPI Information

  • NPI: 1770958092
  • Provider Name: DIAGNOSTIC DERMATOPATHOLOGY
  • Classification: Dermatology - 207ND0900X
  • Specialization: Dermatopathology
  • Entity Type: Organization
  • Doing Business As: DIAGNOSTIC DERMATOPATHOLOGY ASSOCIATES
  • CLIA Number: 11D2108423
  • Address: 2101 BROOKSTONE CENTRE PKWY
    STE 300
    COLUMBUS, GA
    ZIP 31904
  • Phone: (706) 256-1133

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NPI Details

DIAGNOSTIC DERMATOPATHOLOGY is a dermatopathology dermatology in Columbus, 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. DIAGNOSTIC DERMATOPATHOLOGY NPI is 1770958092. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Diagnostic Dermatopathology Associates.

The provider's business location address is:

2101 BROOKSTONE CENTRE PKWY
STE 300
COLUMBUS, GA
ZIP 31904-254
Phone: (706) 256-1133
Fax: (706) 256-1136

The provider's authorized official is Liaqat Ali .
The authorized official title is Owner and has the following contact phone number (706) 256-1133.

The CLIA number assigned to this NPI record is 11D2108423 - independent with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/11/2015 and was last updated on 1/11/2017.

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
1207N00000XDermatology74802GEORGIANo
2207ND0900XDermatologyDermatopathology74802GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1202G701821MEDICARE PINGEORGIA
2003171345AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

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

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