Atlanta Center for Dermatologic Diseases PC 2 LLC
Organization Active NPI Obstetrics & Gynecology Physician · Atlanta, GA
NPI 1295864221 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1295864221
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- ATLANTA CENTER FOR DERMATOLOGIC DISEASES PC 2 LLC
- Practice address
- 5673 Peachtree Dunwoody Rd NE
Suite 850
Atlanta, GA 30342-1731 - Phone
- (404) 943-0205
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Alicia Holden, ACCOUNTING
- Title
- Lead
- Phone
- (404) 943-0205
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
5673 Peachtree Dunwoody Rd NE
Suite 850
Atlanta, GA 30342-1731
Mailing address
PO Box 468329
Atlanta, GA 31146-8329
Phone (404) 943-0205
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.