| NPI | 1356507867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY COOK-WALTER Director 404-778-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| 207ND0900X Dermatology Dermatopathology | |
| 207NI0002X Dermatology Clinical & Laboratory Dermatological Immunology | |
| 207NP0225X Dermatology Pediatric Dermatology | |
| 207NS0135X Dermatology Procedural Dermatology | |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |