Organization
PREMIER DERMATOLOGY AND MOHS SURGERY OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT ROBERT TAYLOR MD (OWNER)
(678) 345-1899
Entity
Organization
Contact information
Practice address
3180 N POINT PKWY, STE 420, ALPHARETTA, GA 30005-4248
(678) 345-1899
(678) 345-1927
Mailing address
3180 N POINT PKWY, STE 420, ALPHARETTA, GA 30005-4248
(678) 345-1899
(678) 345-1927
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
73661
GA
Other
Enumeration date
08/08/2016
Last updated
09/06/2016
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