Organization
JOHNS CREEK DERMATOLOGY AND FAMILY MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEREEN TIMANI (OWNER)
(770) 771-6591
Entity
Organization
Contact information
Practice address
6300 HOSPITAL PKWY, STE 100, JOHNS CREEK, GA 30097
(770) 771-6591
(770) 771-6599
Mailing address
6300 HOSPITAL PKWY, STE 100, JOHNS CREEK, GA 30097
(770) 771-6591
(770) 771-6599
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
061526
GA
207ND0900X
Dermatopathology Physician
061526
GA
207Q00000X
Family Medicine Physician
061566
GA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
061566
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1851505077
DR SHEREEN TIMANI
GA
01
—
1982602074
DR. AHMAD CHARKAWI
GA
05
—
437442038A
—
GA
Enumeration date
11/11/2008
Last updated
10/05/2010
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