Organization · Type 2 NPI

Coastal Medical Dermatology

Specialist · Atlanta, GA

NPI number 1699553552 Active

Practice location

285 W Wieuca Rd NE
Atlanta, GA 30342-3321

Call (215) 439-9519 Map

Fax (678) 647-6762

Mailing address

45 Boynton Ave SE Unit 1207
Atlanta, GA 30315-1868

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6 other providers at this address

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About NPI 1699553552

Coastal Medical Dermatology's National Provider Identifier is 1699553552, issued on Sep 20, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Sep 20, 2023.