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GEORGIA SKIN SPECIALISTS NPI 1164605150


NPI Information

NPI: 1164605150
Provider Name: GEORGIA SKIN SPECIALISTS
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 11D0259622

Address:
1800 HOWELL MILL RD NW
SUITE 680
ATLANTA, GA
ZIP 30318
Phone: (404) 352-1730
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GEORGIA SKIN SPECIALISTS is a specialist in Atlanta, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. GEORGIA SKIN SPECIALISTS NPI is 1164605150. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1800 HOWELL MILL RD NW
SUITE 680
ATLANTA, GA
ZIP 30318-538
Phone: (404) 352-1730
Fax: (404) 352-6907

The provider's authorized official is Linda M Benedict .
The authorized official title is Owner and has the following contact phone number (404) 352-1730.

The CLIA number assigned to this NPI record is 11D0259622 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/12/2007 and was last updated on 2/7/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyNo
2174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP3942MEDICARE PINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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