COASTAL MEDICAL DERMATOLOGY NPI 1699553552

NPI Information

  • NPI: 1699553552
  • Provider Name: COASTAL MEDICAL DERMATOLOGY
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 285 W WIEUCA RD NE
    ATLANTA, GA
    ZIP 30342
  • Phone: (215) 439-9519

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NPI Details

COASTAL MEDICAL DERMATOLOGY 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. COASTAL MEDICAL DERMATOLOGY NPI is 1699553552. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

285 W WIEUCA RD NE
ATLANTA, GA
ZIP 30342-321
Phone: (215) 439-9519
Fax: (678) 647-6762

The provider's authorized official is Sandra V Dareus .
The authorized official title is Owner and has the following contact phone number (215) 439-9519.

The enumeration date for this NPI number is 9/20/2023 and was last updated on 9/20/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

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: 3/30/2025

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