Organization
WOODSTOCK DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA WADDELL (OFFICE MANAGER)
(770) 924-2573
Entity
Organization
Contact information
Practice address
300 PARKBROOKE PL, SUITE 360, WOODSTOCK, GA 30189-7209
(770) 924-2573
(770) 924-2534
Mailing address
300 PARKBROOKE PL STE 360, WOODSTOCK, GA 30189-7280
(770) 924-2573
(770) 924-2534
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
32512
GA
Other
Enumeration date
08/09/2006
Last updated
02/09/2026
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