NPI 1134217342

North Georgia Dermatopathology PC

Organisation Clinical Medical Laboratory Marietta, GA

Practice location

Address: 945 Church Street Ext NE STE B, Marietta, GA 30060-7293
Phone: (770) 426-0827
Fax: (770) 426-9534
Mailing address: PO Box 162406, Atlanta, GA 30321-2406

Authorised official

Name: Lindsay Catherine Jerdan
Title: Business Manager
Phone: (770) 426-0827

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 11D0645784 (GA)

Other Clinical Medical Laboratory providers in Georgia →

Registry record

NPI: 1134217342
Entity type: Organization
NPI issued: 11 Oct 2006
Record last updated: 30 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.