Individual
PAULA M. NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
629 BEAVER RUIN RD NW, SUITE B, LILBURN, GA 30047-3401
(770) 921-4300
(770) 381-6451
Mailing address
629 BEAVER RUIN RD NW, SUITE B, LILBURN, GA 30047-3401
(770) 921-4300
(770) 381-6451
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
041913
GA
207N00000X
Dermatology Physician
28766
AL
207N00000X
Dermatology Physician
427315
PA
207ND0900X
Dermatopathology Physician
041913
GA
207ND0900X
Dermatopathology Physician
28766
AL
207ND0900X
Dermatopathology Physician
427315
PA
Other
Enumeration date
08/22/2005
Last updated
12/23/2013
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