Organization
GEORIGA DERMATOLOGY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER S GROSS M.D. (OWNER)
(770) 781-5077
Entity
Organization
Contact information
Practice address
1505 NORTHSIDE BLVD, SUITE 1500, CUMMING, GA 30041-7623
(770) 781-5077
(770) 781-3915
Mailing address
1505 NORTHSIDE BLVD, SUITE 1500, CUMMING, GA 30041-7623
(770) 781-5077
(770) 781-3915
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
030078
GA
363A00000X
Physician Assistant
003130
GA
363L00000X
Nurse Practitioner
RN164556
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000509858D
—
GA
05
—
621341781A
—
GA
Enumeration date
09/20/2006
Last updated
09/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us