Organization
ATLANTA DERMATOLOGY & AESTHETICS PC
Active
Organization
ATLANTA DERMATOLOGY & AESTHETICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAYAH TALIAFERRO MD (PHYSICIAN OWNER)
(404) 873-1795
Entity
Organization
Contact information
Practice address
232 19TH ST NW, SUITE 7230, ATLANTA, GA 30363-1130
(404) 873-1795
Mailing address
PO BOX 79343, ATLANTA, GA 30357-7343
(404) 873-1795
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
059337
GA
Other
Enumeration date
02/15/2015
Last updated
02/16/2015
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