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Tara Dermatology Center Pc
Medical Specialty Clinic/Center in Stockbridge, Georgia
NPI 1699892380

Tara Dermatology Center Pc is a Medical Specialty Clinic/Center based in Stockbridge, GA and is specialized in Medical Specialty. Tara Dermatology Center Pc practices in Stockbridge, GA. The NPI Number for Tara Dermatology Center Pc is 1699892380 and holds a License No. (Georgia).

The current practice location address for Tara Dermatology Center Pc is 191 Medical Blvd, Stockbridge, GA and can be reached out via phone at 770-991-1000.

Location: 191 Medical Blvd, Stockbridge, GA, 30281-5083
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699892380
Provider Name
Tara Dermatology Center Pc
Credential
Provider Entity Type
Organization
Address
191 Medical Blvd, Stockbridge, GA, 30281-5083
Phone Number
770-991-1000
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
191 Medical Blvd
City
Stockbridge
State
Georgia
Zip
30281-5083
Phone Number
770-991-1000
Fax Number
person
Provider Business Mailing Address Details
Address
191 Medical Blvd
City
Stockbridge
State
Georgia
Zip
30281-5083
Phone Number
770-991-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
(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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