Organization
ATLANTA NORTH DERMATOLOGY & SKIN CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIHYUN KOO M.D. (OWNER)
(770) 516-5199
Entity
Organization
Contact information
Practice address
100 STONEFOREST DR STE 320, WOODSTOCK, GA 30189-4881
(770) 516-5199
(770) 516-5188
Mailing address
100 STONEFOREST DR STE 320, WOODSTOCK, GA 30189-4881
(770) 516-5199
(770) 516-5188
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
053254
GA
Other
Enumeration date
07/10/2008
Last updated
09/09/2015
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