Marietta Dermatology Associates Pa

LBN: Marietta Dermatology Associates Pa
Marietta Dermatology Associates Pa is an health care organization with primary practice located at 111 Marble Mill Rd Nw Marietta Dermatology Associates Pa, Marietta GA 30060-1047. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Marietta Dermatology Associates Pa can be contacted via phone (770) 422-1013, or through Coppa, Gobin via phone (770) 422-1013.

Contact Information

Primary practice address
111 Marble Mill Rd Nw Marietta Dermatology Associates Pa Marietta GA 30060-1047
Phone: (770) 422-1013
Fax: (770) 514-5996
Website:
Map and Directions
Authorized official contact:
Name: Coppa, Gobin
Phone: (770) 422-1013

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1417007212
LBN Legal business name Marietta Dermatology Associates Pa
DBA Doing business as
Authorized official Coppa, Gobin
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2007
Last updated Apr 28th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417007212 NPPES
Other CM6753 MEDICARE RAILROAD

Popular Providers