Organization · Type 2 NPI
Dermatology Boutique LLC
Specialist · Atlanta, GA
NPI number
1699800516
Active
Practice location
550 Peachtree St NE Ste 1490
Atlanta, GA 30308-2244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 051138 (GA) |
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.
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About NPI 1699800516
Dermatology Boutique LLC's National Provider Identifier is 1699800516, issued on Feb 22, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Atlanta, GA. The record was last updated on Nov 8, 2022.