Jennifer Louise Buckley in Marietta - Dermatology
Jennifer Louise Buckley - NPI 1215908652
Jennifer Louise Buckley is a Dermatology in Marietta, Georgia. Jennifer Louise Buckley practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jennifer Louise Buckley is 1215908652. The last update date is 2020-06-12.
Jennifer Louise Buckley's current location address is 835 Cogburn Ave Nw, Marietta, Georgia. You can contact this provider via phone number 7704225557 and fax number 7704225456. The mailing address for Jennifer Louise Buckley is 835 Cogburn Ave Nw, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Louise Buckley |
|---|---|
| Address | 835 Cogburn Ave Nw, Marietta, Georgia |
| Phone Number | 7704225557 |
| Fax Number | 7704225456 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1215908652 |
|---|---|
| Provider Enumeration Date | 2006-02-01 |
| Last Updated Date | 2020-06-12 |
Provider Mailing Address Detail
| Address | 835 Cogburn Ave Nw |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300601031 |
| Phone Number | 7704225557 |
| Fax Number | 7704225456 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 51441 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00121329 | GA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Jennifer Louise Buckley's 1215908652?
The Jennifer Louise Buckley's NPI (National Provider Identifier) Number is 1215908652. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jennifer Louise Buckley is physically located?
The Jennifer Louise Buckley is situated at the following address: 835 Cogburn Ave Nw, Marietta, GA 300601031.
What is Jennifer Louise Buckley's area of expertise and its corresponding taxonomy classification?
The Jennifer Louise Buckley's field of specialization is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1215908652 to Jennifer Louise Buckley?
The Jennifer Louise Buckley received its 1215908652 assignment from the Centers for Medicare & Medicaid Services on 2006-02-01.
As of what date were the Jennifer Louise Buckley's details last updated?
The information pertaining to the Jennifer Louise Buckley, including its address, specialty, and other details, was most recently updated on 2020-06-12.