Organization
DERMATOLOGY BOUTIQUE LLC
Active
Other names
INTOWN DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
WAKITHA A. GRIFFIN MD (OWNER)
(404) 523-4223
Entity
Organization
Contact information
Practice address
550 PEACHTREE ST NE STE 1490, ATLANTA, GA 30308-2244
(404) 523-4223
Mailing address
550 PEACHTREE ST NE STE 1490, ATLANTA, GA 30308-2244
(404) 523-4223
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
051138
GA
Other
Enumeration date
02/22/2007
Last updated
11/08/2022
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