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DUNWOODY DERMATOLOGYLLC NPI 1992836746


NPI Information

NPI: 1992836746
Provider Name: DUNWOODY DERMATOLOGY,LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
4360 CHAMBLEE DUNWOODY RD
SUITE 260
ATLANTA, GA
ZIP 30341
Phone: (770) 452-5667
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DUNWOODY DERMATOLOGY,LLC 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. DUNWOODY DERMATOLOGY,LLC NPI is 1992836746. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4360 CHAMBLEE DUNWOODY RD
SUITE 260
ATLANTA, GA
ZIP 30341-049
Phone: (770) 452-5667
Fax: (770) 452-5677

The provider's authorized official is Lori Beth Schaen .
The authorized official title is Physician Owner and has the following contact phone number (770) 452-5667.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 9/24/2007.


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
1174400000XSpecialist050434GEORGIAYes

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
107BBSSQMEDICARE ID-TYPE UNSPECIFIEDGEORGIAPROVIDER INDENTIFICATION
2H60758MEDICARE UPINGEORGIA

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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