Epiphany Dermatology

LBN: Georgia Dermatology Specialists Of Coweta County, Llc
Epiphany Dermatology is an health care organization with primary practice located at 874 Lanier Ave W Ste 270 , Fayetteville GA 30214-7617. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Georgia Dermatology Specialists Of Coweta County, Llc can be contacted via phone (770) 251-5111, or through Pusta, Gheorghe via phone (512) 628-0465.

Contact Information

Primary practice address
874 Lanier Ave W Ste 270 Fayetteville GA 30214-7617
Phone: (770) 251-5111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pusta, Gheorghe
Phone: (512) 628-0465

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1265544357
LBN Legal business name Georgia Dermatology Specialists Of Coweta County, Llc
DBA Doing business as Epiphany Dermatology
Authorized official Pusta, Gheorghe
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Dec 7th, 2023 - about last year

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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