NPI 1295800803

Dermatology Center of Atlanta

Organisation Specialist Duluth, GA

Practice location

Address: 9900 Medlock Bridge Rd, Duluth, GA 30097-2017
Phone: (770) 497-0699
Fax: (770) 497-0388

Authorised official

Name: Leslie C Gray
Title: Owner
Phone: (770) 497-0699

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 040083 (GA)

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Registry record

NPI: 1295800803
Entity type: Organization
NPI issued: 21 Nov 2006
Record last updated: 13 Jun 2019

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.