Paula M Nelson MD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PAULA M NELSON MD

Doing business as

Family Dermatology

Practice address

629 Beaver Ruin Rd NW
Suite B
Lilburn, GA 30047-3401

Phone

(770) 921-4300

Fax

(770) 381-6451

NPI assigned

Sep 20, 2006

Last updated

Nov 12, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Dele A. Yudowi

Title

Manager

Phone

(770) 231-5279

Specialties & licenses 1

Addresses

Other names 1

• Family Dermatology Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1326145533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-921-4300",
            "fax_number": "770-381-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 BEAVER RUIN RD NW",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473401",
            "telephone_number": "770-921-4300",
            "fax_number": "770-381-6451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAULA M NELSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "YUDOWI",
        "authorized_official_first_name": "DELE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-231-5279",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dermatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Reginald Demetrius Peek, MD
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• Specialist in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.