institution
Northside Dermatology Associates, P.c.
Specialist in Atlanta, Georgia
NPI 1508047846

Northside Dermatology Associates, P.c. is a Specialist based in Atlanta, GA. Northside Dermatology Associates, P.c. practices in Atlanta, GA. The NPI Number for Northside Dermatology Associates, P.c. is 1508047846 and holds a License No. 012988 (Georgia).

The current practice location address for Northside Dermatology Associates, P.c. is 755 Mount Vernon Hwy, Atlanta, GA and can be reached out via phone at 404-256-9692 and via fax at 404-256-9404.

Location: 755 Mount Vernon Hwy, Atlanta, GA, 30328-4274
institution
Provider Profile Details
NPI Number
1508047846
Provider Name
Northside Dermatology Associates, P.c.
Credential
Provider Entity Type
Organization
Address
755 Mount Vernon Hwy, Atlanta, GA, 30328-4274
Phone Number
404-256-9692
Fax Number
404-256-9404
Provider Enumeration Date
11/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00176481C 05 GA
CM5399 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
755 Mount Vernon Hwy
City
State
Zip
30328-4274
Phone Number
404-256-9692
Fax Number
404-256-9404
person
Provider Business Mailing Address Details
Address
755 Mount Vernon Hwy
City
State
Zip
30328-4274
Phone Number
404-256-9692
Fax Number
404-256-9404
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
012988 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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