Organization
NORTH ATLANTA DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA J HERNANDEZ (CREDENTIALING SPECIALIST)
(813) 493-5252
Entity
Organization
Contact information
Practice address
3850 PLEASANT HILL RD, DULUTH, GA 30096-4807
(770) 814-8222
Mailing address
3850 PLEASANT HILL RD, DULUTH, GA 30096-4807
(770) 814-8222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2004000225
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11D0973833
CLIA #
GA
01
—
11D1050070
CLIA ADDL LOCATION
GA
05
—
300033599A
—
GA
05
—
300033599B
—
GA
05
—
55003258A
—
GA
Enumeration date
08/22/2005
Last updated
07/03/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us