Live Oak Dermatology

LBN: Live Oak Dermatology
Live Oak Dermatology is an health care organization with primary practice located at 135 Norcross St # 8 , Roswell GA 30075-3867. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Live Oak Dermatology can be contacted via phone (678) 870-2020, or through Goedjen, Brent via phone (678) 870-2020.

Contact Information

Primary practice address
135 Norcross St # 8 Roswell GA 30075-3867
Phone: (678) 870-2020
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Goedjen, Brent Doctor of Medicine (MD)
Phone: (678) 870-2020

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1194209163
LBN Legal business name Live Oak Dermatology
DBA Doing business as
Authorized official Goedjen, Brent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2018
Last updated Jul 22nd, 2022 - about 3 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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