Stone Mountain Skin Health Center

LBN: Stone Mountain Skin Health Center
Stone Mountain Skin Health Center is an health care organization with primary practice located at 5430 Jimmy Carter Blvd , Norcross GA 30093. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Stone Mountain Skin Health Center can be contacted via phone (770) 508-8241, or through Nguengue-Sowa, Doris Lynn via phone (404) 293-4163.

Contact Information

Primary practice address
5430 Jimmy Carter Blvd Norcross GA 30093
Phone: (770) 508-8241
Fax: (770) 558-1324
Website:
Map and Directions
Authorized official contact:
Name: Nguengue-Sowa, Doris Lynn
Phone: (404) 293-4163

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 59834 Georgia

Profile Details

NPI number 1770995946
LBN Legal business name Stone Mountain Skin Health Center
DBA Doing business as
Authorized official Nguengue-Sowa, Doris Lynn
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2014
Last updated Jan 19th, 2016 - about 8 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 1770995946 NPPES
Georgia MEDICAID 142943194A

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