Organization
AQUA DERMATOLOGY OF GEORGIA PC
Active
Organization
AQUA DERMATOLOGY OF GEORGIA PC
Active
Other names
Goodman Dermatology, Skin Cancer Specialists PC & Aesthetics Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE SCHIFF MD (OWNER)
(770) 422-5557
Entity
Organization
Contact information
Practice address
835 COGBURN AVE NW, SUITE 100, MARIETTA, GA 30060-1031
(770) 422-5557
(770) 422-5456
Mailing address
835 COGBURN AVE NW, SUITE 100, MARIETTA, GA 30060-1031
(770) 422-5557
(770) 422-5456
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
09/14/2006
Last updated
09/16/2024
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