Organization
AESTHETIC DERMATOLOGY, PC
Active
Organization
AESTHETIC DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISHA DALEY MD (PRESIDENT/PHYSICIAN)
(770) 205-0104
Entity
Organization
Contact information
Practice address
960 SANDERS RD, SUITE 300, CUMMING, GA 30041-5962
(770) 205-0104
(770) 205-0975
Mailing address
960 SANDERS RD, SUITE 300, CUMMING, GA 30041-5962
(770) 205-0104
(770) 205-0975
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
059398
GA
Other
Enumeration date
04/23/2009
Last updated
07/27/2009
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