North Georgia Dermatopathology Pc

LBN: North Georgia Dermatopathology Pc
North Georgia Dermatopathology Pc is an health care organization with primary practice located at 945 Church Street Ext Ne Ste B , Marietta GA 30060-7293. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. North Georgia Dermatopathology Pc can be contacted via phone (770) 426-0827, or through Jerdan, Lindsay Catherine via phone (770) 426-0827.

Contact Information

Primary practice address
945 Church Street Ext Ne Ste B Marietta GA 30060-7293
Phone: (770) 426-0827
Fax: (770) 426-9534
Website:
Map and Directions
Authorized official contact:
Name: Jerdan, Lindsay Catherine
Phone: (770) 426-0827

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 11D0645784 Georgia

Profile Details

NPI number 1134217342
LBN Legal business name North Georgia Dermatopathology Pc
DBA Doing business as
Authorized official Jerdan, Lindsay Catherine
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Dec 30th, 2010 - about 14 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 1134217342 NPPES
Georgia Other 52023957 BCBS
Georgia MEDICAID 434544295A BCBS

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