Gwinnett Dermatology Pc

NPI 1477596203 - Dermatology - 207N00000X

NPI Details
NPI 1477596203
Enumeration Date 06/13/2006
Last Updated 08/20/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOEL S JOEL
Position PRESIDENT
Phone (770) 972-4845
Fax (770) 972-0358
Practice Location
2383 PATE ST N
SNELLVILLE GA, 30078-3250, US
Phone (770) 972-4845
Fax (770) 972-0358
Business Location
2383 PATE ST N
SNELLVILLE GA, 30078-3250, US
Phone (770) 972-4845
Fax (770) 972-0358
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Gwinnett Dermatology Pc NPI is 1477596203, taxonomy code is 207N00000X Gwinnett Dermatology Pc physically located at 2383 Pate St N, Snellville GA, 30078-3250. NPI Number 1033115704 has the healthcare provider type.

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1477596203 NPI number is provided on an as is basis without warranty of any kind. 1477596203 is maintained by the National Plan & Provider Enumeration System. The contents of Gwinnett Dermatology Pc are for informational purposes only.