Individual
GAUTHAM VELLAICHAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODRUFF CIR NE STE 327, ATLANTA, GA 30322-2049
(847) 884-8096
Mailing address
100 WOODRUFF CIR NE STE 327, ATLANTA, GA 30322-1020
(404) 712-1990
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
036171734
IL
207ND0900X
Dermatopathology Physician
Primary
17977
GA
Other
Enumeration date
04/28/2020
Last updated
06/18/2025
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