Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners
Dermatology in Snellville, GA. Organization (NPI-2).
NPI number1477596203
StatusActive
Last updated in NPPESSep 20, 2019
Details
- NPI
- 1477596203
- Entity type
- Organization (NPI-2)
- Legal business name
- Gwinnett Dermatology PC D/B/A Georgia Dermatology Partners
- Organization subpart
- No
- Enumeration date
- Jun 13, 2006
- Last updated
- Sep 20, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Practice location
2383 Pate St NSnellville, GA 30078-3250
Phone 770-972-4845 · Fax 770-972-0358
Mailing address
2383 Pate St NSnellville, GA 30078-3250
Phone 770-972-4845 · Fax 770-972-0358
Authorized official
Brenda Rann
Credential
7709724845
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