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Individual

DR. JULIA PETTERSEN NECKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
875 JOHNSON FY RD NE STE 300, ATLANTA, GA 30342
(404) 257-9933
(404) 257-9931
Mailing address
875 JOHNSON FY RD NE STE 300, ATLANTA, GA 30342-1418
(404) 257-9933
(404) 257-9931

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
016521
NY
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
79976
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/18/2011
Last updated
05/09/2022
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