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1508047846
NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
ATLANTA, GA
NPI
1508047846
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Entity Type
Organization
Authorized Contact
STEWART E WIEGAND
Doctor/Owner
404-256-5611
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: GA 012988)
Enumeration Date
2007-11-15
Last Update Date
2007-12-05
Business Address
NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
755 MOUNT VERNON HWY SUITE 110
ATLANTA, GA 30328-4274
Phone number: 404-256-9692
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Mailing Address
NORTHSIDE DERMATOLOGY ASSOCIATES, P.C.
755 MOUNT VERNON HWY SUITE 110
ATLANTA, GA 30328-4274
Phone number: 404-256-9692
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