| NPI | 1174378525 |
|---|---|
| Doing Business As | ROCKLIN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | SIDDHARTH SHAH Authorized Official 770-864-2620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-09-19 |