Individual
CONSTANCE EDIALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5505 PEACHTREE DUNWOODY RD STE 412, ATLANTA, GA 30342-1758
(404) 459-9177
(404) 389-0400
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
105072
GA
Other
Enumeration date
03/31/2021
Last updated
10/29/2025
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