Organization
SPRING BROOK DERMATOLOGY, LLC
Active
Organization
SPRING BROOK DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY M FELDMAN MD (OWNER)
(504) 231-5544
Entity
Organization
Contact information
Practice address
5491 ROSWELL RD, SUITE B, ATLANTA, GA 30342-1911
(504) 231-5544
Mailing address
3707 RANDALL MILL RD NW, ATLANTA, GA 30327-2713
(504) 231-5544
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
69403
GA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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