Marietta Dermatology Associates Pa in Marietta - Dermatology
Marietta Dermatology Associates Pa - NPI 1417007212
Marietta Dermatology Associates Pa is a Dermatology in Marietta, Georgia. Marietta Dermatology Associates Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Marietta Dermatology Associates Pa is 1417007212. The last update date is 2023-04-28.
Marietta Dermatology Associates Pa's current location address is 111 Marble Mill Rd Nw, Marietta, Georgia. You can contact this provider via phone number 7704221013 and fax number 7705145996. The mailing address for Marietta Dermatology Associates Pa is 111 Marble Mill Rd Nw, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Marietta Dermatology Associates Pa |
|---|---|
| Address | 111 Marble Mill Rd Nw, Marietta, Georgia |
| Phone Number | 7704221013 |
| Fax Number | 7705145996 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Coppa Gobin |
| Telephone Number | 7704221013 |
NPI Number Detail
| NPI Number | 1417007212 |
|---|---|
| Provider Enumeration Date | 2007-01-12 |
| Last Updated Date | 2023-04-28 |
Provider Mailing Address Detail
| Address | 111 Marble Mill Rd Nw |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300601047 |
| Phone Number | 7704221013 |
| Fax Number | 7705145996 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
|
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 |
|---|---|---|---|
| CM6753 | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Marietta Dermatology Associates Pa by the Centers for Medicare & Medicaid Services?
The Marietta Dermatology Associates Pa has been issued the NPI (National Provider Identifier) 1417007212, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marietta Dermatology Associates Pa?
The Marietta Dermatology Associates Pa is situated at 111 Marble Mill Rd Nw, in the city of Marietta, state of GA, with the zip code 300601047.
What is Marietta Dermatology Associates Pa's area of expertise and its corresponding taxonomy classification?
The Marietta Dermatology Associates Pa'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 assign the 1417007212 to Marietta Dermatology Associates Pa?
The Centers for Medicare & Medicaid Services assigned the 1417007212 to Marietta Dermatology Associates Pa on 2007-01-12.
When was the information regarding Marietta Dermatology Associates Pa most recently updated?
The details pertaining to the Marietta Dermatology Associates Pa, including its address, specialty, and other relevant information, were last refreshed on 2023-04-28.
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