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OIG exclusion detail

FAMILY DERMATOLOGY OF DELAWARE

This page shows an imported LEIE row. Verify details against the official OIG source before acting.

Imported OIG rowOfficial OIG source
NPI
0000000000
Name
FAMILY DERMATOLOGY OF DELAWARE
Address
629 BEAVER RUIN ROAD, SUITE B, LILBURN, GA, 30047
Specialty
DERMATOLOGY
Exclusion type
BRCH SA
Exclusion date
20160518
Reinstatement date
00000000
Waiver
00000000

Source snapshot

Imported: May 05, 2026

Rows: 83,001

Checksum: 3a10b8ee0e4691855f74ce65a5e733672474291f79ed1f7cef163328d945e9a7

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