Statements: FAMILY DERMATOLOGY, P C

Canonical ID: NK-JfTCVojfRJkt9t4nFcbckT · Entity type: Company (reference)

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Property	Value	Lang	Source dataset	Source ID	First seen
`Company:address`	629 BEAVER RUIN ROAD, LILBURN, GA 30047	eng	us_hhs_exclusions	`us-fed-excl-family-dermatology-p-c-30047-lilburn`	2024-06-06
`Organization:address`	629 BEAVER RUIN RD NW, SUITE B, LILBURN, GA 300473401		ext_us_cms_npi	`us-npi-1144493396`	2026-02-05
`LegalEntity:address`	629 BEAVER RUN ROAD, LILBURN, GA 30047	eng	us_sam_exclusions	`us-fed-excl-family-dermatology-p-c-30047-lilburn`	2025-12-29