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Individual

DR. EMILY DE GOLIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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) 633-9008
(920) 684-1439

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
079635
GA
207ND0101X
MOHS-Micrographic Surgery Physician
79635
GA

Other

Enumeration date
06/25/2013
Last updated
11/02/2022
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