Northwest Georgia Dermatology & Skin Surgery Center Pc in Rome - Procedural Dermatology
Northwest Georgia Dermatology & Skin Surgery Center Pc - NPI 1467641381
Northwest Georgia Dermatology & Skin Surgery Center Pc is a Procedural Dermatology in Rome, Georgia. Northwest Georgia Dermatology & Skin Surgery Center Pc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Northwest Georgia Dermatology & Skin Surgery Center Pc is 1467641381. The last update date is 2011-10-19.
Northwest Georgia Dermatology & Skin Surgery Center Pc's current location address is 103 John Maddox Dr Nw, Rome, Georgia. You can contact this provider via phone number 7062357711 and fax number 7062359944. The mailing address for Northwest Georgia Dermatology & Skin Surgery Center Pc is 103 John Maddox Dr Nw, Rome, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northwest Georgia Dermatology & Skin Surgery Center Pc |
|---|---|
| Address | 103 John Maddox Dr Nw, Rome, Georgia |
| Phone Number | 7062357711 |
| Fax Number | 7062359944 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Smith L Jason |
| Credentials | M.D. |
| Telephone Number | 7062357711 |
NPI Number Detail
| NPI Number | 1467641381 |
|---|---|
| Provider Enumeration Date | 2007-10-16 |
| Last Updated Date | 2011-10-19 |
Provider Mailing Address Detail
| Address | 103 John Maddox Dr Nw |
|---|---|
| City | Rome |
| State | Georgia (GA) |
| Post Code | 301651419 |
| Phone Number | 7062357711 |
| Fax Number | 7062359944 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
| Licence No | 32302 |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000398384A | GA | -- |
Post Comment/ Review Below
What is the Northwest Georgia Dermatology & Skin Surgery Center Pc's 1467641381?
The Northwest Georgia Dermatology & Skin Surgery Center Pc's NPI (National Provider Identifier) Number is 1467641381. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Northwest Georgia Dermatology & Skin Surgery Center Pc?
The Northwest Georgia Dermatology & Skin Surgery Center Pc is physically situated at 103 John Maddox Dr Nw, in the city of Rome, state of GA, with the postal code 301651419.
What is Northwest Georgia Dermatology & Skin Surgery Center Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Northwest Georgia Dermatology & Skin Surgery Center Pc is Procedural Dermatology, and the taxonomy code that categorizes this field of expertise is 207Ns0135X.
On what date did the Northwest Georgia Dermatology & Skin Surgery Center Pc receive the assignment of its 1467641381 from the Centers for Medicare & Medicaid Services?
The Northwest Georgia Dermatology & Skin Surgery Center Pc was issued its 1467641381 by the Centers for Medicare & Medicaid Services on 2007-10-16.
As of what date was the information pertaining to Northwest Georgia Dermatology & Skin Surgery Center Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Northwest Georgia Dermatology & Skin Surgery Center Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-10-19.
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