| Clarkesville Dermatology & Medical Associates Llc | |
|
5330 Highway 115 Clarkesville GA 30523-6730 | |
| (706) 754-5991 | |
| (706) 754-6736 |
| Full Name | Clarkesville Dermatology & Medical Associates Llc |
|---|---|
| Speciality | Dermatology |
| Location | 5330 Highway 115, Clarkesville, Georgia |
| Authorized Official Name and Position | Peter B Gray (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 7067545991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarkesville Dermatology & Medical Associates Llc 5330 Highway 115 Clarkesville GA 30523-6730 Ph: (706) 754-5991 | Clarkesville Dermatology & Medical Associates Llc 5330 Highway 115 Clarkesville GA 30523-6730 Ph: (706) 754-5991 |
| NPI Number | 1346792538 |
|---|---|
| Provider Enumeration Date | 11/04/2016 |
| Last Update Date | 09/15/2018 |
| Medicare PECOS PAC ID | 9739464496 |
|---|---|
| Medicare Enrollment ID | O20170620000024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346792538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Q Dowis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861620387 PECOS PAC ID: 3476702937 Enrollment ID: I20120927000615 |
| Provider Name | Lindsay E Dowis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760703094 PECOS PAC ID: 9739328915 Enrollment ID: I20181022002337 |
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