Skyn Clinic & Apothecary

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ES004943 Issued in GA

Legal business name

SKYN CLINIC & APOTHECARY

Practice address

1150 Peachtree Industrial Blvd Ste 165
Suwanee, GA 30024-1903

Phone

(678) 835-8741

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Zola Nemorin, ESTHETICIANNPI 1649750688

Title

Ceo

Phone

(678) 447-6597

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Zola Nemorin, MEDICAL ESTHETICIAN

  • Dermatology Physician
  • Suwanee, GA
  • NPI 1649750688
  NPD (past) Authorized official

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1942780994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 WOODTRACE LN",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300114721",
            "telephone_number": "678-447-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 PEACHTREE INDUSTRIAL BLVD STE 165",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241903",
            "telephone_number": "678-835-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYN CLINIC & APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "NEMORIN",
        "authorized_official_first_name": "ZOLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-447-6597",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ESTHETICIAN"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "GA",
            "license": "ES004943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.