NPI 1154712958

Atlanta Dermatology & Aesthetics PC

Organisation Dermatology Physician Atlanta, GA

Practice location

Address: 232 19th St NW Suite 7230, Atlanta, GA 30363-1130
Phone: (404) 873-1795
Mailing address: PO Box 79343, Atlanta, GA 30357-7343

Authorised official

Name: Sumayah Taliaferro
Title: Physician Owner
Phone: (404) 873-1795

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 059337 (GA)

Other Dermatology providers in Georgia →

Registry record

NPI: 1154712958
Entity type: Organization
NPI issued: 15 Feb 2015
Record last updated: 16 Feb 2015

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.