Atlanta Dermatology & Surgery P.A. in Tucker - Specialist
Atlanta Dermatology & Surgery P.A. - NPI 1932300084
Atlanta Dermatology & Surgery P.A. is a Specialist in Tucker, Georgia. Atlanta Dermatology & Surgery P.A. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Atlanta Dermatology & Surgery P.A. is 1932300084. The last update date is 2015-11-17.
Atlanta Dermatology & Surgery P.A.'s current location address is 1462 Montreal Rd, Tucker, Georgia. You can contact this provider via phone number 4042968000 and fax number 7704936842. The mailing address for Atlanta Dermatology & Surgery P.A. is 1462 Montreal Rd, Tucker, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Atlanta Dermatology & Surgery P.A. |
|---|---|
| Address | 1462 Montreal Rd, Tucker, Georgia |
| Phone Number | 4042968000 |
| Fax Number | 7704936842 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Cooper Lee Jerry |
| Credentials | MD |
| Telephone Number | 4042968000 |
NPI Number Detail
| NPI Number | 1932300084 |
|---|---|
| Provider Enumeration Date | 2007-05-29 |
| Last Updated Date | 2015-11-17 |
Provider Mailing Address Detail
| Address | 1462 Montreal Rd |
|---|---|
| City | Tucker |
| State | Georgia (GA) |
| Post Code | 300846929 |
| Phone Number | 4042968000 |
| Fax Number | 7704936842 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 11850 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique provider identifier assigned to Atlanta Dermatology & Surgery P.A.?
The Atlanta Dermatology & Surgery P.A. has been issued the NPI (National Provider Identifier) 1932300084 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Atlanta Dermatology & Surgery P.A. located?
The Atlanta Dermatology & Surgery P.A. is located at 1462 Montreal Rd, Tucker, GA 300846929.
What is Atlanta Dermatology & Surgery P.A.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Atlanta Dermatology & Surgery P.A. is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1932300084 to Atlanta Dermatology & Surgery P.A.?
The Centers for Medicare & Medicaid Services originally issued the 1932300084 to Atlanta Dermatology & Surgery P.A. on 2007-05-29.
When was the Atlanta Dermatology & Surgery P.A.'s information last updated?
The Atlanta Dermatology & Surgery P.A.'s information was last updated on 2015-11-17.
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