Organization
PRESTON RIDGE DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN NIREN M.D. (PRESIDENT/OWNER)
(770) 475-6222
Entity
Organization
Contact information
Practice address
3155 N POINT PKWY, BLDG E STE 100, ALPHARETTA, GA 30005-5494
(770) 475-6222
(770) 667-9522
Mailing address
3155 N POINT PKWY, BLDG E STE 100, ALPHARETTA, GA 30005-5494
(770) 475-6222
(770) 667-9522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
027412
GA
Other
Enumeration date
09/30/2008
Last updated
11/03/2011
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