Organization
NORTH ATLANTA DERMATOLOGY
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up