Dermatology Center Of Atlanta

LBN: Dermatology Center Of Atlanta
Dermatology Center Of Atlanta is an health care organization with primary practice located at 9900 Medlock Bridge Rd , Duluth GA 30097-2017. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Dermatology Center Of Atlanta can be contacted via phone (770) 497-0699, or through Gray, Leslie C via phone (770) 497-0699.

Contact Information

Primary practice address
9900 Medlock Bridge Rd Duluth GA 30097-2017
Phone: (770) 497-0699
Fax: (770) 497-0388
Website:
Map and Directions
Authorized official contact:
Name: Gray, Leslie C Doctor of Medicine (MD)
Phone: (770) 497-0699

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 040083 Georgia

Profile Details

NPI number 1295800803
LBN Legal business name Dermatology Center Of Atlanta
DBA Doing business as
Authorized official Gray, Leslie C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 21st, 2006
Last updated Jun 13th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295800803 NPPES
Georgia Other CK6511 RAILROAD MEDICARE GROUP

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