Organization
NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEWART E WIEGAND M.D. (DOCTOR/OWNER)
(404) 256-5611
Entity
Organization
Contact information
Practice address
755 MOUNT VERNON HWY, SUITE 110, ATLANTA, GA 30328-4274
(404) 256-9692
(404) 256-9404
Mailing address
755 MOUNT VERNON HWY, SUITE 110, ATLANTA, GA 30328-4274
(404) 256-9692
(404) 256-9404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
012988
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00176481C
—
GA
01
—
CM5399
RAILROAD MEDICARE
GA
Enumeration date
11/15/2007
Last updated
12/05/2007
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