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Medical Dermatology Specialists,pc
Medical Specialty Clinic/Center in Sandy Springs, Georgia
NPI 1134544679

Medical Dermatology Specialists,pc is a Medical Specialty Clinic/Center based in Sandy Springs, GA and is specialized in Medical Specialty. Medical Dermatology Specialists,pc practices in Sandy Springs, GA. The NPI Number for Medical Dermatology Specialists,pc is 1134544679 and holds a License No. 50088 (Georgia).

The current practice location address for Medical Dermatology Specialists,pc is 5730 Glenridge Dr, Sandy Springs, GA and can be reached out via phone at 404-939-9220 and via fax at 404-939-9221.

Location: 5730 Glenridge Dr, Sandy Springs, GA, 30328-6141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134544679
Provider Name
Medical Dermatology Specialists,pc
Credential
Provider Entity Type
Organization
Address
5730 Glenridge Dr, Sandy Springs, GA, 30328-6141
Phone Number
404-939-9220
Fax Number
404-939-9221
Provider Enumeration Date
02/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07BBSST 01 GA MEDICARE ID
202I075875 01 GA MEDICARE PTAN
070016848 01 GA MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
5730 Glenridge Dr
City
Sandy Springs
State
Georgia
Zip
30328-6141
Phone Number
404-939-9220
Fax Number
404-939-9221
person
Provider Business Mailing Address Details
Address
5730 Glenridge Dr
City
Sandy Springs
State
Georgia
Zip
30328-6141
Phone Number
404-939-9220
Fax Number
404-939-9221
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
50088 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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