Premiere Dermatology And Surgery, Llc in Lilburn - Dermatology
Premiere Dermatology And Surgery, Llc - NPI 1518163310
Premiere Dermatology And Surgery, Llc is a Dermatology in Lilburn, Georgia. Premiere Dermatology And Surgery, Llc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Premiere Dermatology And Surgery, Llc is 1518163310. The last update date is 2015-06-17.
Premiere Dermatology And Surgery, Llc's current location address is 4650 Stone Mountain Hwy, Lilburn, Georgia. You can contact this provider via phone number 6783442450 and fax number 6783442501. The mailing address for Premiere Dermatology And Surgery, Llc is 4650 Stone Mountain Hwy, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Premiere Dermatology And Surgery, Llc |
|---|---|
| Address | 4650 Stone Mountain Hwy, Lilburn, Georgia |
| Phone Number | 6783442450 |
| Fax Number | 6783442501 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRACTICE M |
|---|---|
| Authorized Official Name | Boutte Paul |
| Telephone Number | 4042189671 |
NPI Number Detail
| NPI Number | 1518163310 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2015-06-17 |
Provider Mailing Address Detail
| Address | 4650 Stone Mountain Hwy |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 30047 |
| Phone Number | 6783442450 |
| Fax Number | 6783442501 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 39318 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identification code assigned to Premiere Dermatology And Surgery, Llc by the Centers for Medicare & Medicaid Services?
The Premiere Dermatology And Surgery, Llc has been issued the NPI (National Provider Identifier) 1518163310, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Premiere Dermatology And Surgery, Llc is physically located?
The Premiere Dermatology And Surgery, Llc is situated at the following address: 4650 Stone Mountain Hwy, Lilburn, GA 30047.
What is Premiere Dermatology And Surgery, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Premiere Dermatology And Surgery, Llc is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518163310 to Premiere Dermatology And Surgery, Llc?
The Centers for Medicare & Medicaid Services assigned the 1518163310 to Premiere Dermatology And Surgery, Llc on 2007-06-27.
When was the information regarding Premiere Dermatology And Surgery, Llc most recently updated?
The details pertaining to the Premiere Dermatology And Surgery, Llc, including its address, specialty, and other relevant information, were last refreshed on 2015-06-17.
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