Organization
NORTH GEORGIA DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER WHITE (OFFICE MANAGER)
(770) 962-5040
Entity
Organization
Contact information
Practice address
771 OLD NORCROSS RD, SUITE 260, LAWRENCEVILLE, GA 30046-4386
(770) 962-5040
(770) 962-5056
Mailing address
771 OLD NORCROSS RD, SUITE 260, LAWRENCEVILLE, GA 30046-4386
(770) 962-5040
(770) 962-5056
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
12/28/2010
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