Georiga Dermatology Center, P.C. in Cumming - Physician Assistant

Georiga Dermatology Center, P.C. - NPI 1942307160

Georiga Dermatology Center, P.C. is a Physician Assistant in Cumming, Georgia. Georiga Dermatology Center, P.C. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Georiga Dermatology Center, P.C. is 1942307160. The last update date is 2016-09-28.

Georiga Dermatology Center, P.C.'s current location address is 1505 Northside Blvd, Cumming, Georgia. You can contact this provider via phone number 7707815077 and fax number 7707813915. The mailing address for Georiga Dermatology Center, P.C. is 1505 Northside Blvd, Cumming, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Organization Georiga Dermatology Center, P.C.
Address 1505 Northside Blvd, Cumming, Georgia
Phone Number 7707815077
Fax Number 7707813915
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Gross S Alexander
Credentials M.D.
Telephone Number 7707815077

NPI Number Detail

NPI Number 1942307160
Provider Enumeration Date 2006-09-20
Last Updated Date 2016-09-28

Provider Mailing Address Detail

Address 1505 Northside Blvd
City Cumming
State Georgia (GA)
Post Code 300417623
Phone Number 7707815077
Fax Number 7707813915

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 3130
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
621341781A GA --
000509858D GA --

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FAQs about Georiga Dermatology Center, P.C.

What is the unique identifier code issued to Georiga Dermatology Center, P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Georiga Dermatology Center, P.C. has been assigned the NPI (National Provider Identifier) 1942307160. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Georiga Dermatology Center, P.C. is physically located?

The Georiga Dermatology Center, P.C. is physically situated at the following address: 1505 Northside Blvd, Cumming, GA, 300417623.

What is Georiga Dermatology Center, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Georiga Dermatology Center, P.C.'s specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

When did Georiga Dermatology Center, P.C. receive its 1942307160 assignment?

The Georiga Dermatology Center, P.C. was assigned its 1942307160 on 2006-09-20, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Georiga Dermatology Center, P.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Georiga Dermatology Center, P.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-09-28.

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